Individual
CYNTHIA LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
200 E 22ND ST, SUITE D, VANCOUVER, WA 98663-3266
(360) 953-2077
(360) 696-4811
Mailing address
200 E 22ND ST, SUITE D, VANCOUVER, WA 98663-3266
(360) 953-2077
(360) 696-4811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00007798
WA
101YP2500X
Professional Counselor
C1473
OR
103TC0700X
Clinical Psychologist
Primary
PY 60049102
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY 60049102
WA
103TF0000X
Family Psychologist
PY 60049102
WA
103TH0004X
Health Psychologist
PY 60049102
WA
Other
Enumeration date
05/28/2007
Last updated
12/18/2012
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