MEDICARE: VICTORIA LEVOSHKO

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	235Z00000X	Speech-Language Pathologist	SLP102120	MA

General Provider Information

NPI Number	:	1730774027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LEVOSHKO

Provider Business Mailing Address
First Line	:	61 WINTER ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-3367
Country	:	US
Telephone Number	:	781-924-5069
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 WINTER ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-3367
Country	:	US
Telephone Number	:	781-924-5069
Fax Number	:	781-924-1578

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

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	06/08/2026

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Directions to “ VICTORIA LEVOSHKO ” Practice Location

Language	Start Address	Practice Location

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