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General NPI Number Information
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NPI Number | 1396603031
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Entity Type | Organization
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Legal Business Name | KAREN LEVINE PHD PSYCHOLOGY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 428 GRAND AVE
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-1635
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Country | US
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Telephone | 213-924-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 428 GRAND AVE
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-1635
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Country | US
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Telephone | 213-924-5003
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. KAREN LEVINE
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Credential | PH.D.
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Telephone | 213-924-5003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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