National Provider Identifier
Johanna Mary McCormick
Johanna Mary McCormick is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Bath, NY and a listed phone number of (607) 664-2487.
Profile Overview
- NPI
- 1891564670
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 21, 2023
- Last Updated
- December 21, 2023
Practice Location
- 115 Liberty St
- Bath, NY 14810-1508
Phone: (607) 664-2487
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1891564670
- Entity Type
- Individual
- Last Name
- McCormick
- First Name
- Johanna
- Middle Name
- Mary
- Mailing Street Address
- 115 Liberty St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1508
- Mailing Country
- US
- Mailing Phone
- (607) 664-2487
- Mailing Fax
- (607) 664-2161
- Practice Street Address
- 115 Liberty St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1508
- Practice Country
- US
- Practice Phone
- (607) 664-2487
- Practice Fax
- (607) 664-2161
- Enumeration Date
- December 21, 2023
- Last Updated
- December 21, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)