Individual
DR. LAURENCE S LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, ABPP-CN
Contact information
Practice address
3801 PGA BLVD, SUITE 600, PALM BEACH GARDENS, FL 33410-2758
(561) 743-0147
(772) 463-0246
Mailing address
1059 SW BROMELIA TER, STUART, FL 34997-7145
(561) 743-0147
(772) 463-0246
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY4160
FL
Other
Enumeration date
06/14/2006
Last updated
01/03/2017
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