National Provider Identifier Database

ROGER J LAVINE JR, PSYD. – NPI #1336784875
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

ROGER J LAVINE JR, PSYD.
222 COMMERCIAL BLVD STE 200
LAUDERDALE BY THE SEA, FL33308-4483
Phone: 954-716-6702
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Exercise & Sports 103TE1100X
Family 103TF0000X
Group Psychotherapy 103TP2701X

* Indicates primary specialty

NPI Profile & details for ROGER J LAVINE JR

NPI Number 1336784875
Credentials PSYD.
Entity Individual
Enumeration date 11/07/2019
Last updated 11/07/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • FL License #: PY10647
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ROGER J LAVINE JR, PSYD.

There are currently no reviews for ROGER J LAVINE JR, PSYD.


NPIdb - Home
v2.201