| Doctor Name: | DR. ALYSSA BEE LEVY |
| NPI Number: | 1043296205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D |
| License Number: | 952870312501 |
| Business Practice Address: | 842 Three Fountains Dr Murray, UT - 841075260 |
| Business Phone Number: | 8019634292 |
| Business Fax Number: | 8019634299 |
| Mailing Address: | 842 Three Fountains Dr, MURRAY |
| State: | UT |
| Postal Code: | 841075260 |
| Phone Number: | 8019634292 |
| Fax Number: | 8019634299 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 08/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 952870312501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |