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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAYMOND J HAVLICEK, PH.D.

Active Sole Proprietor

DR. RAYMOND J HAVLICEK, PH.D. is a Clinical Psychologist healthcare provider located in LAKE PLACID, New York. NPI 1215152095 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LAKE PLACID, NY

Registration Details

NPI Number
1215152095
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2007 (19.140021718459 yrs)
Last Updated
Apr 20, 2009
Licenses
004718 (NY)
004718 (NY)
Sole Proprietor
Yes

Practice Information

Address
30 CAYUGA WAY
LAKE PLACID, NY, 129463915
Browse NY providers · Browse ZIP 12946
Phone
5184419426
Fax
5167769275
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Forensic Psychologist

Other Clinical Psychologist Providers in LAKE PLACID, NY

Name Credential NPI
DR. JACOB EDWARD HADDEN PH.D. 1336496983
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.