| Elaine Levine, Ph.d. | |
|
1395 Missouri Ave Las Cruces NM 88001-5327 | |
| (575) 522-5466 | |
| (575) 521-8611 |
| Full Name | Elaine Levine, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1395 Missouri Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Elaine S. Levine (OWNER) |
| Authorized Official Contact | 5755225466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Levine, Ph.d. 1395 Missouri Ave Las Cruces NM 88001-5327 Ph: (575) 522-5466 | Elaine Levine, Ph.d. 1395 Missouri Ave Las Cruces NM 88001-5327 Ph: (575) 522-5466 |
| NPI Number | 1588019996 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588019996 | NPI | - | NPPES |
| 1851426159 | Other | NM | TYPE I NPI |
| 0000N5897 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 189 (New Mexico) | Primary |
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