DR. MARTIN DE VITA, PHD
Psychologist - Clinical
Active
Individual
NPI: 1629692991
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Psychologist - Clinical | 103TC0700X | Yes | 0810007818 (VA) |
Frequently Asked Questions
NPI 1629692991 is the National Provider Identifier for DR. MARTIN DE VITA, PHD, a Psychologist - Clinical provider located in Fort Drum, NY. This NPI was enumerated on June 2, 2020.
DR. MARTIN DE VITA, PHD practices at 11050 MT BELVEDERE BLVD, Fort Drum, NY 13602.
Quick Facts
- NPI
- 1629692991
- Type
- Individual
- Enumerated
- Jun 2, 2020
- Last Updated
- Jul 29, 2024
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