National Provider Identifier
Mary Beth McCormick, LMHC
Mary Beth McCormick, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Derby, NY and a listed phone number of (716) 947-5025.
Profile Overview
- NPI
- 1417487448
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 13, 2017
- Last Updated
- May 16, 2019
Practice Location
- 6722 Erie RD
- Derby, NY 14047-9670
Phone: (716) 947-5025
Mailing Address
- 713 Lake St
- Angola, NY 14006-9630
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1417487448
- Entity Type
- Individual
- Last Name
- McCormick
- First Name
- Mary
- Middle Name
- Beth
- Credential
- LMHC
- Mailing Street Address
- 713 Lake St
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-9630
- Mailing Country
- US
- Mailing Phone
- (716) 725-9086
- Practice Street Address
- 6722 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9670
- Practice Country
- US
- Practice Phone
- (716) 947-5025
- Enumeration Date
- June 13, 2017
- Last Updated
- May 16, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)