Va Medical Center Bath NY

NPI #1629097274 in Bath, New York

Provider Information

NPI Number: 1629097274
Entity Type: Organization
Organization Name: Va Medical Center Bath NY
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Jul 18, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 76 VETERANS AVE
Address 2: BEHAVIORAL HEALTH ROOM 511D
City: Bath
State: New York
ZIP Code: 14810-0810
Phone: (607) 664-4305

Authorized Official

Name: DR. MARK W LAWSON, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (607) 664-4305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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