Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Bucovetsky, PSYD

Individual provider Clinical Psychologist · NPI 1083936769

Dr. Michael Bucovetsky, PSYD is a Clinical Psychologist in Smyrna, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4045 Orchard Rd SE Ste 110
Smyrna, GA 30080-4902
Phone: (770) 293-1950
Fax: (770) 293-1955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY003351 (GA)

Record details

NPI number1083936769
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 22, 2010
Last updated in NPPESApril 8, 2013
Mailing address4045 Orchard Rd Se, Suite 110, Smyrna, GA 30080-4902

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