| Samantha Levy | |
|
2305 Pelham Ave Los Angeles CA 90064-2211 | |
| (310) 845-6046 | |
| Not Available |
| Full Name | Samantha Levy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2305 Pelham Ave, Los Angeles, California |
| Authorized Official Name and Position | Samantha Robin Levy (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3108456046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Levy 2305 Pelham Ave Los Angeles CA 90064-2211 Ph: (310) 845-6046 | Samantha Levy 2305 Pelham Ave Los Angeles CA 90064-2211 Ph: (310) 845-6046 |
| NPI Number | 1982002325 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982002325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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