Individual
MR. RANDY LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2450 HOLLYWOOD BLVD STE 303A, HOLLYWOOD, FL 33020-6624
(954) 965-9228
Mailing address
7360 NW 17TH CT, PEMBROKE PINES, FL 33024-1000
(954) 965-9228
(954) 966-2208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY003923
FL
Other
Enumeration date
07/14/2006
Last updated
09/21/2021
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