Provider Demographics
NPI:1679176424
Name:LEVINE, RENEA MARIJA (MD)
Entity type:Individual
Prefix:DR
First Name:RENEA
Middle Name:MARIJA
Last Name:LEVINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2808 HILLCREEK DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6484
Mailing Address - Country:US
Mailing Address - Phone:706-733-0333
Mailing Address - Fax:706-733-2700
Practice Address - Street 1:2808 HILLCREEK DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6484
Practice Address - Country:US
Practice Address - Phone:706-733-0333
Practice Address - Fax:706-733-2700
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral