Most Relevant Information
Provider Data
| NPI Number: | 1003807876 |
| Provider Name: | ANDREW JEREMIAH LEVINE PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY20320 |
Most Important Dates
| Enumeration Date: | 11/02/2005 |
| Last Updated: | 07/28/2020 |
Provider Practice Location
801 CRESCENT WAY STE 3
ARCATA
CA
955216781
Practice Location Phone/Fax
| Phone: | 1562477596 |
| Fax: |
Provider Mailing Location
801 CRESCENT WAY STE 3
ARCATA
CA
955216781
Provider Mailing Phone/Fax
| Phone: | 5624775463 |
| Fax: |