Individual provider · Type 1 NPI

Roger J. Lavine Jr., PSYD.

Clinical Psychologist · Lauderdale By The Sea, FL

NPI number 1336784875 Active

Practice location

222 Commercial Blvd Ste 200
Lauderdale By The Sea, FL 33308-4483

Mailing address

2808 NE 33rd Ct Apt 203
Fort Lauderdale, FL 33306-3014

Specialties and licenses

TaxonomyCodeLicense
Exercise & Sports Psychologist 103TE1100XPY10647 (FL)
Family Psychologist 103TF0000XPY10647 (FL)
Group Psychotherapy Psychologist 103TP2701XPY10647 (FL)
Clinical Psychologist Primary 103TC0700XPY10647 (FL)

Clinical Psychologist: 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 discip…

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About NPI 1336784875

Roger J. Lavine Jr., PSYD.'s National Provider Identifier is 1336784875, issued on Nov 7, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lauderdale By The Sea, FL. The record was last updated on Nov 7, 2019.