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Organization
M.D. LEVY, PHD. A PSYCHOLOGICAL GROUP INC.
Active
Organization
M.D. LEVY, PHD. A PSYCHOLOGICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY D. LEVY PHD. (PRESIDENT)
(323) 938-9233
Entity
Organization
Contact information
Practice address
6333 WILSHIRE BLVD, STE 506, LOS ANGELES, CA 90048-5702
(323) 938-9233
(323) 938-0226
Mailing address
6128 MARYLAND DR, LOS ANGELES, CA 90048-4736
(323) 938-9233
(323) 938-0266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPS489348
—
CA
Enumeration date
05/14/2007
Last updated
08/22/2020
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