NPI 1174104129

Julie McCormack

Practitioner Psychiatry Physician Fairborn, OH

Practice location

Address: 2555 University Dr, Fairborn, OH 45324-6255
Phone: (937) 775-7792

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 57.251765 (OH)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1174104129
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2021
Record last updated: 6 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.