NPI | 1457806796 |
---|---|
Other Name | ALEX LEVITAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 4709) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 4709) |
103TF0200X Psychologist Forensic (Licence: AZ 4709) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2020-10-07 |