| NPI | 1245303650 |
|---|---|
| Former Name | MARK DANA LEVENSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AK AL3599) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: AK AK3599) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AK 3599) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-03-01 |