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Individual

DR. FREDERIC J. LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2630 SW 28TH ST, SUITE 63, MIAMI, FL 33133-3869
(305) 669-8948
(305) 665-9988
Mailing address
2630 SW 28TH ST, SUITE 63, MIAMI, FL 33133-3869
(305) 669-8948
(305) 665-9988

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 4627
FL
103TP0814X
Psychoanalysis Psychologist
PY 4627
FL

Other

Enumeration date
09/07/2007
Last updated
01/24/2011
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