OrganizationActive
Family Psychology and Counseling
NPI 1730446410 · Prescribing (Medical) Psychologist · Shreveport, LA
Provider details
- NPI number
- 1730446410
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Mccormick, Medical Psychologist/Owner(318) 865-7500
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
1513 Line Ave
Suite 305
Shreveport, LA 71101-4621
Phone: (318) 865-7500
Fax: (318) 868-2035
Approximate (ZIP-level) locationGet directions
Mailing address
1513 Line Ave
Shreveport, LA 71101-4621
Other names (DBA / former)
- Other name
- Bruce Mccormick PH.D.
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2012-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.