Willis T Van Dyne, PSY D Valid NPI

Individual provider · Clinical Psychologist · Troy, NY

NPI

1023123767

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

006790 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-21

Last updated

2008-04-15