Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTIN JOSEPH DE VITA, PHD
ActiveDR. MARTIN JOSEPH DE VITA, PHD is a Clinical Psychologist healthcare provider located in FORT DRUM, New York. NPI 1629692991 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT DRUM, NY
Registration Details
- NPI Number
- 1629692991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2020 (6.2055244702806 yrs)
- Last Updated
- Jul 29, 2024
- License
-
0810007818 (VA)
Practice Information
- Address
-
11050 MT BELVEDERE BLVDFORT DRUM, NY, 136022603Browse NY providers · Browse ZIP 13602
- Phone
- 3157838792
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| DR. TODD L. BENHAM | PSYD, ABPP | 1558350777 |
| DR. MARK D. LESSARD | PH.D. | 1679533673 |
| QUINTIN E POORE | PHD | 1689622193 |
| DR. ROBERT B. SIMMONDS | PH.D. | 1477591519 |
| MEGAN MARIE MCGINTY | — | 1508806290 |
| DR. RICHARD HENRY RUBES | PHD | 1174539043 |
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.