Healthcare Provider Details

I. General information

NPI: 1104938539
Provider Name (Legal Business Name): ALLAN LLOYD LEVY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 THOMAS JOHNSON DR STE 204
FREDERICK MD
21702-4404
US

IV. Provider business mailing address

172 THOMAS JOHNSON DR STE 204
FREDERICK MD
21702-4404
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-8343
  • Fax: 301-695-0746
Mailing address:
  • Phone: 301-663-8343
  • Fax: 301-695-0746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER K SUNDAY
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-663-8343