Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J SMALL, PH.D.
Active Sole ProprietorDR. MICHAEL J SMALL, PH.D. is a Clinical Neuropsychologist healthcare provider located in LONG LAKE, New York. NPI 1992914360 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · LONG LAKE, NY
Registration Details
- NPI Number
- 1992914360
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.235838270551 yrs)
- Last Updated
- Jul 8, 2007
- License
-
013837 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49 FAWN WAYLONG LAKE, NY, 128470130Browse NY providers · Browse ZIP 12847
- Phone
- 5186243346
- Fax
- 5186245557
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.