Bucovetsky, Michael
Bucovetsky, Michael is an sole proprietor health care provider with primary practice located at 4045 Orchard Rd Se Suite 110, Smyrna GA 30080-4902. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bucovetsky, Michael can be contacted via phone (770) 293-1950.Contact Information
Primary practice address
4045 Orchard Rd Se Suite 110
Smyrna GA 30080-4902
Phone: (770) 293-1950
Fax: (770) 293-1955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003351 | Georgia |
Profile Details
| NPI number | 1083936769 |
|---|---|
| LBN Legal business name | Bucovetsky, Michael |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2010 |
| Last updated | Apr 8th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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