Individual provider · Type 1 NPI

Mansour (max) Banilivy, PhD

Clinical Psychologist · Merrick, NY

NPI number 1023026754 Active

Practice location

2615 Merrick Ave
Merrick, NY 11566-4622

Fax (516) 867-0013

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X007526 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1023026754

Mansour (max) Banilivy, PhD's National Provider Identifier is 1023026754, issued on Aug 5, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Merrick, NY. The record was last updated on Jul 8, 2007.