Individual
DR. SCOTT IAN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11650 LANTERN RD, SUITE 232, FISHERS, IN 46038-2993
(317) 525-8721
(317) 525-8721
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 636-0681
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02002427A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349170
—
IN
Enumeration date
08/27/2006
Last updated
04/09/2020
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