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

DR. ROGER J LAVINE JR., PSYD.

Active

DR. ROGER J LAVINE JR., PSYD. is a Clinical Psychologist healthcare provider located in LAUDERDALE BY THE SEA, Florida. NPI 1336784875 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LAUDERDALE BY THE SEA, FL

Registration Details

NPI Number
1336784875
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2019 (6.7958036061098 yrs)
Last Updated
Nov 7, 2019
Licenses
PY10647 (FL)
PY10647 (FL)
PY10647 (FL)
PY10647 (FL)

Practice Information

Address
222 COMMERCIAL BLVD STE 200
LAUDERDALE BY THE SEA, FL, 333084483
Browse FL providers · Browse ZIP 33308
Phone
9547166702
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Family Psychologist
Additional Specialty
Geriatric Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in LAUDERDALE BY THE SEA, FL

Name Credential NPI
DR. WILLIAM IRVING DORFMAN PH.D. 1043323751
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.