Dr. Fredric M Levine
Health Service Health Psychologist Clinical Psychologist Cognitive & Behavioral Psychologist
1000 Main St
Port Jefferson
, New York 11777-2250
Dr. Fredric M Levine
Health Service Health Psychologist Clinical Psychologist Cognitive & Behavioral Psychologist
1000 Main St
Port Jefferson
, New York 11777-2250
(631) 473-6622
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Health Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Fredric M Levine
- 1000 Main St
- Port Jefferson, NY
- Zip : 11777-2250
- Phone : (631) 473-6622
Second Address
- Dr. Fredric M Levine
- 1000 Main St
- Port Jefferson, NY
- Zip : 11777-2250
- Phone : (631) 473-6622
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 3559 | NY |
| Y | 103G00000X | Clinical Psychologist | 3559 | NY |
| Y | 103TC0700X | Clinical Psychologist | 3559 | NY |
| N | 103TH0004X | Health Psychologist | 3559 | NY |
| N | 103TH0100X | Health Service | 3559 | NY |
National Provider Identifier
| NPI | 1144462920 |
|---|---|
| Provider Name | Dr. Fredric M Levine |
| First Address | Port Jefferson, NY 11777-2250 |
| Second Address | Port Jefferson, NY 11777-2250 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2009 |
| Last Update Date | 25/03/2009 |
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.