Doctor Name: | DR. SHELDON C LEVIN |
NPI Number: | 1366504136 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH D |
License Number: | 02138 |
Business Practice Address: | 913 Bowman Rd. Building #2 Mt. Pleasant, SC - 294643235 |
Business Phone Number: | 8432162535 |
Business Fax Number: | 8432162528 |
Mailing Address: | 3229 Pignatelli Crescent, MT. PLEASANT |
State: | SC |
Postal Code: | 29466 |
Phone Number: | 8432162535 |
Fax Number: | 8432162528 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 02138 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |