Craig Lee Levine PSYD

NPI 1811174766 - Psychologist - 103T00000X

NPI Details
NPI 1811174766
Gender Male
Enumeration Date 01/23/2008
Last Updated 01/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
830 MENLO AVE
200
MENLO PARK CA, 94025-4751, US
Phone (415) 845-5897
Fax
Business Location
584 CASTRO ST
#643
SAN FRANCISCO CA, 94114-2512, US
Phone (415) 845-5897
Fax
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY21757
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According to our database, Dr. Craig Lee Levine PSYD NPI is 1811174766, taxonomy code is 103T00000X and license number is PSY21757, license state is located at California. Craig Lee Levine PSYD physically located at 830 Menlo Ave, Menlo Park CA, 94025-4751. NPI Number Craig Lee Levine PSYD has the Individual type.

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1811174766 NPI number is provided on an as is basis without warranty of any kind. 1811174766 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Lee Levine PSYD are for informational purposes only.