Lavine, Roger J

Lavine, Roger J is an individual health care provider with primary practice located at 222 Commercial Blvd Ste 200 , Lauderdale By The Sea FL 33308-4483. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lavine, Roger J can be contacted via phone (954) 716-6702.

Contact Information

Primary practice address
222 Commercial Blvd Ste 200 Lauderdale By The Sea FL 33308-4483
Phone: (954) 716-6702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PY10647 Florida
Behavioral Health & Social Service Providers / Family 103TF0000X PY10647 Florida
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PY10647 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10647 Florida

Profile Details

NPI number 1336784875
LBN Legal business name Lavine, Roger J
Credentials PSYD.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2019
Last updated Nov 7th, 2019 - 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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