| NPI | 1588019996 |
|---|---|
| Other Name | ELAINE LEVINE, PH.D. |
| Entity Type | Organization |
| Authorized Contact | ELAINE S. LEVINE Owner 575-522-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 189) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |