Individual
DR. ROBERT LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
51 UPPER MONTCLAIR PLZ, SUITE 27, MONTCLAIR, NJ 07043-1343
(973) 744-6244
(973) 509-0214
Mailing address
98 LORRAINE AVE, MONTCLAIR, NJ 07043-2305
(973) 744-8276
(973) 509-0214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100160000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428701
—
NJ
Enumeration date
09/20/2006
Last updated
07/09/2007
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