Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BRUCE LISTER, PSY.D.
Active Sole ProprietorDR. MICHAEL BRUCE LISTER, PSY.D. is a Clinical Psychologist healthcare provider located in ENDICOTT, New York. NPI 1215203914 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ENDICOTT, NY
Registration Details
- NPI Number
- 1215203914
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2012 (14.201681773707 yrs)
- Last Updated
- Aug 12, 2015
- Licenses
-
0810004531 (VA)0810004531 (VA)021193-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
423 E MAIN ST#2ENDICOTT, NY, 137606940Browse NY providers · Browse ZIP 13760
- Phone
- 6077541101
- Fax
- 6077541107
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in ENDICOTT, NY
| Name | Credential | NPI |
|---|---|---|
| DR. TRICIA L PARK | PH.D. | 1548297724 |
| DR. CHERYL LYNN SCOTT-RICHARD | PSY.D. | 1942499389 |
| DR. VINCENT JAMES MONASTRA | PH.D. | 1750544888 |
| DR. ANDREA CHAPMAN | PSY.D. | 1063748192 |
| DR. GRETA L. MYERS | PH.D. | 1326368721 |
| DR. JENNIFER S. BERRYMAN | PH.D. | 1619318698 |
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.