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Individual
DR. NEAL STUART SPIVACK
Active
Individual
DR. NEAL STUART SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
013505
NY
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
013505
NY
Other
Enumeration date
12/14/2006
Last updated
04/05/2016
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