| Dr.seth Leventhal,llc | |
|
11380 Prosperity Farms Rd Ste 210b Palm Beach Gardens FL 33410-3477 | |
| (561) 622-4047 | |
| (561) 622-4651 |
| Full Name | Dr.seth Leventhal,llc |
|---|---|
| Speciality | Psychologist |
| Location | 11380 Prosperity Farms Rd Ste 210b, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Seth Leventhal (MGR) |
| Authorized Official Contact | 5616224047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.seth Leventhal,llc 11380 Prosperity Farms Rd Ste 210b Palm Beach Gardens FL 33410-3477 Ph: (561) 622-4047 | Dr.seth Leventhal,llc 11380 Prosperity Farms Rd Ste 210b Palm Beach Gardens FL 33410-3477 Ph: (561) 622-4047 |
| NPI Number | 1518361286 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 3274852934 |
|---|---|
| Medicare Enrollment ID | O20150430000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518361286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5320 (Florida) | Primary |
| Provider Name | Seth Leventhal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164551842 PECOS PAC ID: 6204018427 Enrollment ID: I20110309000813 |
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