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Contact Information

ROBERT A LAVINE, PhD
1602 BELLE VIEW BLVD.
# 3374
ALEXANDRIA, VA22307
 Phone: 571-508-8916
 Fax: 703-435-7422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT A LAVINE · (Male)

NPI Number 1518078328
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/31/2006
Last updated 12/18/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0810001957
  • Other 127234 VALUE OPTIONS
  • VA Other 100246 ANTHEM BCBS
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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