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Mr. Yong Darin Witkovic, PHD
Clinical Psychologist in New York, New York
NPI 1598218257

Yong Darin Witkovic is a Clinical Psychologist based in New York, NY and is specialized in Clinical. Yong Darin Witkovic practices in New York, NY and has the professional credentials of PHD. The NPI Number for Yong Darin Witkovic is 1598218257 and holds a License No. (New York).

The current practice location address for Yong Darin Witkovic is 158 West 124Th Street, New York, NY and can be reached out via phone at 212-523-6500 and via fax at 212-523-5677.

Location: 158 West 124Th Street, New York, NY, 10027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598218257
Provider Name
Yong Darin Witkovic
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
158 West 124Th Street, New York, NY, 10027
Phone Number
212-523-6500
Fax Number
212-523-5677
Provider Enumeration Date
07/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01536011 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
158 West 124Th Street
City
New York
State
New York
Zip
10027
Phone Number
212-523-6500
Fax Number
212-523-5677
person
Provider Business Mailing Address Details
Address
158 West 124Th Street
City
New York
State
New York
Zip
10027
Phone Number
212-523-6500
Fax Number
212-523-5677
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
025837-01 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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