Organization
CENTER THROUGH THE LOOKING GLASS
Active
Other names
Elaine LeVine, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE S. LEVINE PH.D. (OWNER)
(575) 522-5466
Entity
Organization
Contact information
Practice address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
(575) 521-8611
Mailing address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
(575) 521-8611
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
189
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000N5897
—
NM
01
—
1851426159
TYPE I NPI
NM
Enumeration date
05/04/2016
Last updated
05/04/2016
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