Individual
JULIE LERNER LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Mailing address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312R
BCBS PROVIDER #
NC
Enumeration date
04/11/2007
Last updated
07/08/2007
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