Lavine, Robert Alan

Lavine, Robert Alan is an sole proprietor health care provider with primary practice located at 1602 Belle View Blvd. # 3374, Alexandria VA 22307. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lavine, Robert Alan can be contacted via phone (571) 508-8916.

Contact Information

Primary practice address
1602 Belle View Blvd. # 3374 Alexandria VA 22307
Phone: (571) 508-8916
Fax: (703) 435-7422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810001957 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001957 Virginia

Profile Details

NPI number 1518078328
LBN Legal business name Lavine, Robert Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Dec 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518078328 NPPES
Other 127234 VALUE OPTIONS
Other 100246 VALUE OPTIONS

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