Individual provider · Type 1 NPI

Mark Richard Minnick, PhD

Psychologist · Syracuse, NY

NPI number 1043889728 Active

Practice location

620 Erie Blvd W
Syracuse, NY 13204-2445

Call (315) 425-4400 Map

Mailing address

800 Irving Ave
Syracuse, NY 13210-2716

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X024286 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1043889728

Mark Richard Minnick, PhD's National Provider Identifier is 1043889728, issued on Jun 17, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 17, 2021.