Individual
MARK ALEXANDER LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCSP
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
1550 RITCHIE LN, ANNAPOLIS, MD 21401-4110
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
23650
MD
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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