Doctor Name: | THOMAS C LEVY |
NPI Number: | 1013942259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC MED |
License Number: | 4220 |
Business Practice Address: | 40 Wright Street Wing Memorial Hospital Griswold Center Palmer, MA - 01069 |
Business Phone Number: | 4132845285 |
Business Fax Number: | 4132845384 |
Mailing Address: | 40 Wright Street, PALMER |
State: | MA |
Postal Code: | 01069 |
Phone Number: | 4132837651 |
Fax Number: | 4132845117 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |