IndividualActive
Bruce Mccormick, PHD
NPI 1043327968 · Prescribing (Medical) Psychologist · Shreveport, LA
Provider details
- NPI number
- 1043327968
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 631 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Prescribing (Medical) Psychologist103TP0016X
Practice location
3341 Youree Dr Ste 20a
Shreveport, LA 71105-2149
Phone: (318) 865-7500
Fax: (318) 868-2035
Approximate (ZIP-level) locationGet directions
Mailing address
3341 Youree Dr Ste 20a
Shreveport, LA 71105-2149
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.