Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Julie McCormack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174104129

Julie McCormack is a Student in an Organized Health Care Education/Training Program in Fairborn, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2555 University Dr
Fairborn, OH 45324-6255
Phone: (937) 775-7792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 57.251765 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174104129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address2555 University Dr, Fairborn, OH 45324-6255

Other providers in Fairborn