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NPI Code Detail

MEDICARE: DR. SUSAN JOY LEVY MD

MEDICARE: DR. SUSAN JOY LEVY MD
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
12084P0800XPsychiatry Physician35.045221OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053350330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN JOY LEVY MD
Provider Business Mailing Address
First Line : 10921 REED HARTMAN HWY STE 133
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-2851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10921 REED HARTMAN HWY STE 133
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-2851
Country : US
Telephone Number : 740-772-6191
Fax Number : 740-772-6188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 12/23/2025

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