Individual
CHLOE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
19 SOUTH ST, PORTLAND, ME 04101-3963
(207) 610-0424
Mailing address
88 BEACON ST, PORTLAND, ME 04103-4022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1621
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
N/A
—
Enumeration date
03/11/2019
Last updated
07/15/2020
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