Individual
MR. LEVI ALFORD HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., P.P.S.
Contact information
Practice address
402 FARNELL ROAD, SUITE A, SANTA MARIA, CA 93458-4960
(805) 922-0334
Mailing address
4775 HIDALGO AVE., ATASCADERO, CA 93422
(805) 458-6852
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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