DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FREDRIC M LEVINE, PH.D.

Active Sole Proprietor

Clinical Psychologist · PORT JEFFERSON, NY

Registration Details

NPI Number
1144462920
Provider Type
Individual
Gender
Male
NPI Issued
Mar 25, 2009 (17.074742660067 yrs)
Last Updated
Mar 25, 2009
Licenses
3559 (NY)
3559 (NY)
3559 (NY)
3559 (NY)
Sole Proprietor
Yes

Practice Information

Address
1000 MAIN ST
PORT JEFFERSON, NY, 117772250
Browse NY providers · Browse ZIP 11777
Phone
6314736622
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Health Psychologist
Additional Specialty
Health Service Psychologist

Other Clinical Psychologist Providers in PORT JEFFERSON, NY

Name Credential NPI
DR. DEBRA K SMITH PHD 1720089972
DR. WILLIAM M BENNISON PH.D. 1962489153
DR. DENISE DIXON PH.D. 1457394983
DR. FAITH LENNON PHD 1649364787
DR. MICHAEL J CARDILLO PH.D. 1184788077
LINDA JOYCE BUCARIA PHD 1700930286
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.