Individual provider · Type 1 NPI

Michael Bucovetsky, PSY.D.

Clinical Psychologist · Smyrna, GA

NPI number 1083936769 Active

Practice location

4045 Orchard Rd SE, Suite 110
Smyrna, GA 30080-4902

Fax (770) 293-1955

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY003351 (GA)

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 1083936769

Michael Bucovetsky, PSY.D.'s National Provider Identifier is 1083936769, issued on Feb 22, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Smyrna, GA. The record was last updated on Apr 8, 2013.