MEDICARE: DR. JANET A. LEVENSON 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
1	103TC0700X	Clinical Psychologist	757	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0608026Y0NH04	OTHER	NH	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	H016473	OTHER	NH	HARVARD PILGRIM
4	412167	OTHER	NH	MAGELLAN

General Provider Information

NPI Number	:	1992786206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET A. LEVENSON PSY.D.

Provider Business Mailing Address
First Line	:	488 E DUNBARTON RD
Second Line	:
City	:	GOFFSTOWN
State	:	NH
Zip	:	03045-2817
Country	:	US
Telephone Number	:	603-497-3268
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 ROUTE 3A
Second Line	:	SUITE 16
City	:	BOW
State	:	NH
Zip	:	03304-4010
Country	:	US
Telephone Number	:	603-230-9444
Fax Number	:	603-228-9990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	07/08/2007

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