Provider Demographics
NPI:1881946531
Name:MCCORMACK, CARA A (INTERN)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:A
Last Name:MCCORMACK
Suffix:
Gender:F
Credentials:INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TURNER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2442
Mailing Address - Country:US
Mailing Address - Phone:978-276-1883
Mailing Address - Fax:
Practice Address - Street 1:800 CUMMINGS CENTER SUITE 266T
Practice Address - Street 2:NORTHEAST BEHAVIORAL HEALTH
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01864
Practice Address - Country:US
Practice Address - Phone:978-921-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool