Organization
LEVI Y. BREUER, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI Y. BREUER PSYD (PSYCHOLOGIST)
(410) 343-9756
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD, SUITE 3, COLUMBIA, MD 21045-3957
(410) 343-9756
Mailing address
6528 CLARINGTON RD, BALTIMORE, MD 21209-3850
(410) 343-9756
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040540000
—
MD
Enumeration date
07/08/2011
Last updated
07/08/2011
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