Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan R. Levine, PHD

Organization Clinical Psychologist · NPI 1972002004

Ethan R. Levine, PHD is a Clinical Psychologist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018

Practice location Address checks out

11937 Straight A Way Ln
Raleigh, NC 27613-7105
Phone: (919) 264-3755
Fax: (919) 846-9231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 650 (NC)

Record details

NPI number1972002004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Levine — Managing Director · (919) 264-3755
NPI enumeratedFebruary 5, 2018
Last updated in NPPESFebruary 5, 2018
Mailing address11937 Straight A Way Ln, Raleigh, NC 27613-7105

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