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Michael Bucovetsky, PSY.D
NPI 1083936769 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4045 Orchard Rd Se
Suite 110
Smyrna, GA 30080 - Phone
- (770) 293-1950
- Fax
- (770) 293-1955
- Organisation at this address
- Achieve Services
Evolve Consulting
Achieve Nursing Services
Sprout Pediatric Nutrition Llc
Jenny Van Overbeke Brooks, Ph.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia