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NPI Code Detail

MEDICARE: ILEENE LEVINE

MEDICARE:   ILEENE  LEVINE
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
1106H00000XMarriage & Family TherapistMFC28556CA

General Provider Information

NPI Number : 1326372988
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILEENE LEVINE
Provider Business Mailing Address
First Line : 2500 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107
Country : US
Telephone Number : 626-564-1613
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3464
Country : US
Telephone Number : 626-564-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 06/21/2026

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Directions to “ ILEENE LEVINE ” Practice Location

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