Organization · Type 2 NPI

Ethan R. Levine, Ph.d.

Clinical Psychologist · Raleigh, NC

NPI number 1972002004 Active

Practice location

11937 Straight A Way Ln
Raleigh, NC 27613-7105

Fax (919) 846-9231

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	650 (NC)

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 1972002004

Ethan R. Levine, Ph.d.'s National Provider Identifier is 1972002004, issued on Feb 5, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Raleigh, NC. The record was last updated on Feb 5, 2018.