Healthcare Provider Details

I. General information

NPI: 1356735492
Provider Name (Legal Business Name): ALI MARIE LEVINE SLP-CFY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10470 VISTA DEL SOL DR STE 100
EL PASO TX
79925-7928
US

IV. Provider business mailing address

10470 VISTA DEL SOL DR STE 100
EL PASO TX
79925-7928
US

V. Phone/Fax

Practice location:
  • Phone: 915-615-7005
  • Fax: 855-618-2437
Mailing address:
  • Phone: 915-615-7005
  • Fax: 855-618-2437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number37445
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: