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NPI Code Detail

MEDICARE: MRS. LINDSEY E. MCCORMACK LMFT

MEDICARE: MRS. LINDSEY E. MCCORMACK LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFT38040CA

General Provider Information

NPI Number : 1821129446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY E. MCCORMACK LMFT
Provider Business Mailing Address
First Line : 4333 E VINEYARD AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-1013
Country : US
Telephone Number : 805-981-5579
Fax Number :
Provider Business Practice Location Address
First Line : 4333 E VINEYARD AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-1013
Country : US
Telephone Number : 805-981-5579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 11/15/2021

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