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Contact Information

JACK S LEVINE, PhD
750 TERRADO PLZ
SUITE 246
COVINA, CA91723-3419
 Phone: 626-915-0933
 Fax: 626-339-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACK S LEVINE · (Male)

NPI Number 1437284239
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY6826
Hospital affiliation(s) Not Available
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.

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