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DR. MICHAEL BUCOVETSKY PSY.D. NPI 1083936769


NPI Information

NPI: 1083936769
Provider Name: DR. MICHAEL BUCOVETSKY, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
4045 ORCHARD RD SE
SUITE 110
SMYRNA, GA
ZIP 30080
Phone: (770) 293-1950
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DR. Michael Bucovetsky, PSY.D. is a clinical psychologist in Smyrna, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Michael Bucovetsky, PSY.D. NPI is 1083936769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4045 ORCHARD RD SE
SUITE 110
SMYRNA, GA
ZIP 30080-902
Phone: (770) 293-1950
Fax: (770) 293-1955

The enumeration date for this NPI number is 2/22/2010 and was last updated on 4/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPSY003351GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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