| Susan Levin, Ph.d., P.a. | |
|
7301 W Palmetto Park Rd Suite 205a Boca Raton FL 33433-3458 | |
| (561) 417-0220 | |
| Not Available |
| Full Name | Susan Levin, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 7301 W Palmetto Park Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Susan Alison Levin (OWNER) |
| Authorized Official Contact | 5614170220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Levin, Ph.d., P.a. 7301 W Palmetto Park Rd Suite 205a Boca Raton FL 33433-3458 Ph: (561) 417-0220 | Susan Levin, Ph.d., P.a. 7301 W Palmetto Park Rd Suite 205a Boca Raton FL 33433-3458 Ph: (561) 417-0220 |
| NPI Number | 1821396003 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 07/08/2011 |
| Medicare PECOS PAC ID | 4587833678 |
|---|---|
| Medicare Enrollment ID | O20110805000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821396003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0005517 (Florida) | Primary |
| Provider Name | Susan A Levin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285850032 PECOS PAC ID: 2668641762 Enrollment ID: I20110805000609 |
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