Lavine, Robert Alan
Lavine, Robert Alan is an sole proprietor health care provider with primary practice located at 1602 Belle View Blvd. # 3374, Alexandria VA 22307. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lavine, Robert Alan can be contacted via phone (571) 508-8916.Contact Information
Primary practice address
1602 Belle View Blvd. # 3374
Alexandria VA 22307
Phone: (571) 508-8916
Fax: (703) 435-7422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810001957 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001957 | Virginia |
Profile Details
| NPI number | 1518078328 |
|---|---|
| LBN Legal business name | Lavine, Robert Alan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 18th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518078328 | NPPES |
| Other | 127234 | VALUE OPTIONS | |
| Other | 100246 | VALUE OPTIONS |
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