Dr. Andrew Jeremiah Levine
Psychologist Clinical Psychologist
801 Crescent Way Ste 3
Arcata
, California 95521-6781
Dr. Andrew Jeremiah Levine
Psychologist Clinical Psychologist
801 Crescent Way Ste 3
Arcata
, California 95521-6781
(562) 477-5463
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Andrew Jeremiah Levine
- 801 Crescent Way Ste 3
- Arcata, CA
- Zip : 95521-6781
- Phone : (562) 477-5463
Second Address
- Dr. Andrew Jeremiah Levine
- 801 Crescent Way Ste 3
- Arcata, CA
- Zip : 95521-6781
- Phone : (156) 247-7596
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Is Dr. Andrew Jeremiah Levine a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY20320 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY20320 | CA |
| N | 102L00000X | Psychologist | PSY20320 | CA |
| N | 103T00000X | Psychologist | PSY20320 | CA |
National Provider Identifier
| NPI | 1003807876 |
|---|---|
| Provider Name | Dr. Andrew Jeremiah Levine |
| First Address | Arcata, CA 95521-6781 |
| Second Address | Arcata, CA 95521-6781 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 28/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.