MEDICARE: DR. CHRISTINA K. LEBOVITZ PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1011	AZ

General Provider Information

NPI Number	:	1073573549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA K. LEBOVITZ PH.D.

Provider Business Mailing Address
First Line	:	8149 E EVANS RD
Second Line	:	SUITE 9
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3647
Country	:	US
Telephone Number	:	480-368-9898
Fax Number	:	480-315-9564

Provider Business Practice Location Address
First Line	:	8149 E EVANS RD
Second Line	:	SUITE 9
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3647
Country	:	US
Telephone Number	:	480-368-9898
Fax Number	:	480-315-9564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/15/2007

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