Provider Demographics
NPI:1073670816
Name:HIN-MCCORMICK, MUI MUI (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:MUI MUI
Middle Name:
Last Name:HIN-MCCORMICK
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 CHAMBERLAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-5567
Mailing Address - Country:US
Mailing Address - Phone:860-637-7112
Mailing Address - Fax:
Practice Address - Street 1:148 EASTERN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4321
Practice Address - Country:US
Practice Address - Phone:860-269-3584
Practice Address - Fax:860-812-2014
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1186106H00000X
CT001186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist