Individual
DR. BRIAN LEE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10721 MAIN ST STE 203, FAIRFAX, VA 22030-6902
(703) 831-2040
(703) 307-5494
Mailing address
10721 MAIN ST STE 203, FAIRFAX, VA 22030-6902
(703) 831-2040
(571) 307-5494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003556
VA
Other
Enumeration date
07/20/2006
Last updated
09/05/2025
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