Individual provider · Type 1 NPI

Michael A. Civin I, PhD

Clinical Psychologist · Bronx, NY

NPI number 1265655419 Active

Practice location

696 E 187th St, 205-208
Bronx, NY 10458-6800

Specialties and licenses

TaxonomyCodeLicense
Psychoanalyst 102L00000XNone listed
Clinical Psychologist Primary 103TC0700X010129 (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 1265655419

Michael A. Civin I, PhD's National Provider Identifier is 1265655419, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bronx, NY. The record was last updated on Jan 3, 2011.