Doctor Name: | DR. STEPHANIE JOY LEVY |
NPI Number: | 1083978571 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PY 8535 |
Business Practice Address: | 10000 Bay Pines Blvd Bay Pines, FL - 337448200 |
Business Phone Number: | 7273986661 |
Business Fax Number: | |
Mailing Address: | 4677 Sw 75th Way, DAVIE |
State: | FL |
Postal Code: | 333144113 |
Phone Number: | 7708911975 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2012 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY 8535 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |