Individual provider · Type 1 NPI

Bruce K. McCormick, PhD

Prescribing (Medical) Psychologist · Shreveport, LA

NPI number 1043327968 Active

Practice location

3341 Youree Dr Ste 20A
Shreveport, LA 71105-2149

Fax (318) 868-2035

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X631 (LA)
Counseling Psychologist 103TC1900X631 (LA)
Clinical Child & Adolescent Psychologist 103TC2200X631 (LA)
Family Psychologist 103TF0000X631 (LA)
Prescribing (Medical) Psychologist 103TP0016X631MP (LA)
School Psychologist 103TS0200X631 (LA)
Marriage & Family Therapist 106H00000X631 (LA)
Prescribing (Medical) Psychologist Primary 103TP0016XMPAP.000013 (LA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1043327968

Bruce K. McCormick, PhD's National Provider Identifier is 1043327968, issued on Aug 24, 2006. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Shreveport, LA. The record was last updated on Sep 19, 2023.