| Doctor Name: | MRS. KIMBERLY A MCCORMICK |
| NPI Number: | 1003053497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 4590-125 |
| Business Practice Address: | 833 N 26th St Milwaukee, WI - 532331507 |
| Business Phone Number: | 4143447676 |
| Business Fax Number: | |
| Mailing Address: | 833 N 26th St, MILWAUKEE |
| State: | WI |
| Postal Code: | 532331507 |
| Phone Number: | 4143447676 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2009 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4590-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |