Healthcare Provider Details

I. General information

NPI: 1275508947
Provider Name (Legal Business Name): LINDA S. LEVY EDD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 HIGH ST PLYMOUTH STATE UNIVERSITY
PLYMOUTH NH
03264-1595
US

IV. Provider business mailing address

224 NH ROUTE 175
HOLDERNESS NH
03245-5512
US

V. Phone/Fax

Practice location:
  • Phone: 603-535-2577
  • Fax:
Mailing address:
  • Phone: 603-968-7776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0030
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: