| NPI | 1518078328 |
|---|---|
| Professional Name | ROB ALAN LAVINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001957) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810001957) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-12-18 |