TERESA ANN MCCORMACK
NPI 1801172960
Counselor - Mental Health in Brockton, MA
Active since November 02, 2011
About Teresa Ann Mccormack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA ANN MCCORMACK (NPI 1801172960) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since November 2011.
NPPES Registry Identity
NPI1801172960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA ANN MCCORMACK
Location Address56 CHERRY STBrockton, MA 02301-2608
Mailing Address56 Cherry StBrockton, MA 02301-2608 · (508) 521-2200
Phone(508) 521-2200
Sole ProprietorYes
Enumeration DateNovember 2, 2011
✔ NPI 1801172960 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
56 CHERRY ST, Brockton, MA 02301
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801172960, enumerated as an "individual" on November 02, 2011.
The provider is located at 56 CHERRY ST BROCKTON, MA 02301 and the phone number is (508) 521-2200.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.