Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN R LEVINE, PH.D.
ActiveAdult Development & Aging Psychologist · CONCORD, NC
Registration Details
- NPI Number
- 1538300025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2009 (17.107614061445 yrs)
- Last Updated
- Apr 8, 2020
- License
-
650 (NC)
Practice Information
- Address
-
101 CABARRUS AVE ECONCORD, NC, 280253699Browse NC providers · Browse ZIP 28025
- Phone
- 8888497379
- Fax
- 8558577333
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Exercise & Sports Psychologist
- Additional Specialty
- Health Service Psychologist
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.