Jack Sanford Levine in Covina - Clinical
Jack Sanford Levine - NPI 1437284239
Jack Sanford Levine is a Clinical in Covina, California. Jack Sanford Levine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Sanford Levine is 1437284239. The last update date is 2007-07-08.
Jack Sanford Levine's current location address is 750 Terrado Plz, Covina, California. You can contact this provider via phone number 6269150933 and fax number 6263392885. The mailing address for Jack Sanford Levine is 750 Terrado Plz, Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Sanford Levine |
|---|---|
| Address | 750 Terrado Plz, Covina, California |
| Phone Number | 6269150933 |
| Fax Number | 6263392885 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1437284239 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 750 Terrado Plz |
|---|---|
| City | Covina |
| State | California (CA) |
| Post Code | 917233419 |
| Phone Number | 6269150933 |
| Fax Number | 6263392885 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY6826 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Jack Sanford Levine by the Centers for Medicare & Medicaid Services?
The Jack Sanford Levine has been issued the NPI (National Provider Identifier) 1437284239 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack Sanford Levine?
The Jack Sanford Levine is situated at 750 Terrado Plz, in the city of Covina, state of CA, with the zip code 917233419.
What is Jack Sanford Levine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Sanford Levine is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1437284239 assigned to Jack Sanford Levine?
The Jack Sanford Levine was issued its 1437284239 on 2007-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jack Sanford Levine most recently updated?
The details pertaining to the Jack Sanford Levine, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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