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Organization
SAMANTHA LEVY
Active
Organization
SAMANTHA LEVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ROBIN LEVY PH.D. (CLINICAL PSYCHOLOGIST)
(310) 845-6046
Entity
Organization
Contact information
Practice address
2305 PELHAM AVE, LOS ANGELES, CA 90064-2211
(310) 845-6046
Mailing address
2305 PELHAM AVE, LOS ANGELES, CA 90064-2211
(310) 845-6046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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