Individual
MR. HOWARD D LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
(217) 238-5767
Mailing address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
(217) 238-5767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
11/16/2007
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