Individual
DR. KENNETH NEIL LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1128 LONGFELLOW LN, STATE COLLEGE, PA 16803-2414
(814) 231-0554
Mailing address
1128 LONGFELLOW LN, STATE COLLEGE, PA 16803
(814) 865-5848
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016149
PA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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