Organization · Type 2 NPI

Central New York Medical Practice, PLLC

Clinical Psychologist · Syracuse, NY

NPI number 1962765016 Active

Practice location

600 E Genesee St
Syracuse, NY 13202-3130

Mailing address

1601 Armory Dr, Building C
Utica, NY 13501-5405

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Psychiatry Physician 2084P0800XNone listed

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 1962765016

Central New York Medical Practice, PLLC's National Provider Identifier is 1962765016, issued on Jun 22, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Syracuse, NY. The record was last updated on Nov 12, 2012.