Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL NORMAN DIVAK, PH.D.
Active Sole ProprietorDR. MICHAEL NORMAN DIVAK, PH.D. is a Clinical Psychologist healthcare provider located in CANAJOHARIE, New York. NPI 1508284704 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CANAJOHARIE, NY
Registration Details
- NPI Number
- 1508284704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2014 (12.377719357389 yrs)
- Last Updated
- Aug 22, 2018
- License
-
021046-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
66 MONTGOMERY ST STE 2CANAJOHARIE, NY, 133171212Browse NY providers · Browse ZIP 13317
- Phone
- 5186736001
- Fax
- 5186736033
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.