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NPI Code Detail

MEDICARE: DR. LEVI Y BREUER PSY.D.

MEDICARE: DR. LEVI Y BREUER PSY.D.
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
1103TC0700XClinical Psychologist04964MD

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 : 1902100605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEVI Y BREUER PSY.D.
Provider Business Mailing Address
First Line : 104 CHURCH LN STE 101
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-3839
Country : US
Telephone Number : 410-343-9756
Fax Number :
Provider Business Practice Location Address
First Line : 12501 PROSPERITY DR STE 310
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1699
Country : US
Telephone Number : 240-780-8884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 11/22/2020

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