NPI Profile for LINDA S LEVI LCPC LLC in PARK RIDGE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X | |||
Marriage & Family Therapist |
106H00000X |
| NPI Number | 1962704064 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/22/2010 | |
| Last updated | 11/22/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LINDA S LEVI LCPC LLC
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