Mccormick, Richard Mark

Mccormick, Richard Mark is an individual health care provider with primary practice located at 4950 Old Collinsville Rd , Swansea IL 62226-2025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mccormick, Richard Mark can be contacted via phone (618) 624-4060.

Contact Information

Primary practice address
4950 Old Collinsville Rd Swansea IL 62226-2025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.006978 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2005030089 Missouri

Profile Details

NPI number 1790799419
LBN Legal business name Mccormick, Richard Mark
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Sep 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers