Individual provider · Type 1 NPI

Michael Norman Divak, PhD

Clinical Psychologist · Canajoharie, NY

NPI number 1508284704 Active

Practice location

66 Montgomery St Ste 2
Canajoharie, NY 13317-1212

Fax (518) 673-6033

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X021046-1 (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 1508284704

Michael Norman Divak, PhD's National Provider Identifier is 1508284704, issued on Apr 3, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Canajoharie, NY. The record was last updated on Aug 22, 2018.