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NPI Code Detail

MEDICARE: LEONARD AARON LEVIS PHD

MEDICARE: LEONARD AARON LEVIS PHD
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
1103TC0700XClinical PsychologistPSY7756CA
2103T00000XPsychologist7756CA

General Provider Information

NPI Number : 1588702930
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD AARON LEVIS PHD
Provider Business Mailing Address
First Line : 3301 E 12TH ST STE 259
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2940
Country : US
Telephone Number : 510-269-9030
Fax Number :
Provider Business Practice Location Address
First Line : 3301 E 12TH ST STE 259
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2940
Country : US
Telephone Number : 510-269-9030
Fax Number : 510-269-9031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 02/15/2018

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Directions to “ LEONARD AARON LEVIS PHD” Practice Location

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