Healthcare Provider Details

I. General information

NPI: 1245149855
Provider Name (Legal Business Name): ANNA ELIZABETH LEVY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S VAN BRUNT ST STE 204
ENGLEWOOD NJ
07631-4600
US

IV. Provider business mailing address

601 ACKERMAN AVE
HO HO KUS NJ
07423-1100
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-9011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number263-046
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: