Organization · Type 2 NPI

DR Michael Divak Psychologist

Clinical Psychologist · Canajoharie, NY

NPI number 1679054167 Active

Practice location

66 Montgomery St Ste 2
Canajoharie, NY 13317-1212

Mailing address

66 Montgomery St
Canajoharie, NY 13317-1212

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 1679054167

DR Michael Divak Psychologist's National Provider Identifier is 1679054167, issued on Aug 23, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Canajoharie, NY. The record was last updated on Aug 23, 2018.