BRUCE MCCORMICK, PHD

Prescribing (Medical) Psychologist · SHREVEPORT, LA

Individual Active Opted out of Medicare NPI 1043327968

Taxonomy & licensure

Specialty	Code	Primary	License	State
Prescribing (Medical) Psychologist	103TP0016X	✓	MPAP.000013	LA
Psychologist	103T00000X		631	LA
Counseling Psychologist	103TC1900X		631	LA
Clinical Child & Adolescent Psychologist	103TC2200X		631	LA
Family Psychologist	103TF0000X		631	LA
Prescribing (Medical) Psychologist	103TP0016X		631MP	LA
School Psychologist	103TS0200X		631	LA
Marriage & Family Therapist	106H00000X		631	LA

Opted out of Medicare (Clinical Psychologist), effective 2017-04-01 through 2027-04-01.

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.