Levine, Mark
Levine, Mark is an sole proprietor health care provider with primary practice located at 5455 Wilshire Blvd Ste 2104 , Los Angeles CA 90036-4290. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Levine, Mark can be contacted via phone (310) 285-3708.Contact Information
Primary practice address
5455 Wilshire Blvd Ste 2104
Los Angeles CA 90036-4290
Phone: (310) 285-3708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 18786 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 18786 | California |
Profile Details
| NPI number | 1023395290 |
|---|---|
| LBN Legal business name | Levine, Mark |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2011 |
| Last updated | Nov 15th, 2011 - about 14 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.
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