Search › Louisiana › 103TP0016X
Bruce Mccormick, PHD
NPI 1043327968 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3341 Youree Dr Ste 20a
Shreveport, LA 71105 - Phone
- (318) 865-7500
- Fax
- (318) 868-2035
- Organisation at this address
- Mmo Of Shreveport, Llc
Ronald A Goebel & Mark P Vigen Ptr
M. Todd Lobrano, Psychologist, L.L.C.
Shelley Visconte, Psychologist, L.L.C.
Trburks Behavioral Health Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Registry record
- Primary taxonomy
- 103TP0016X
103TP0016X
- Also registered as
- 103T00000X
103TC1900X
103TC2200X
103TF0000X
103TP0016X
103TS0200X
106H00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana