Individual
JOAN M. LEVICK GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7 THOMAS RD, VALATIE, NY 12184-4321
(518) 392-7314
(518) 392-5764
Mailing address
PO BOX 118, CHATHAM, NY 12037-0118
(518) 392-7314
(518) 392-5764
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
009681-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009681-1
JOAN'S LICENSE
NY
05
—
01416751
—
NY
05
—
01905259
—
NY
01
—
133586
VALUE OPTIONS JOAN
NY
Enumeration date
09/24/2006
Last updated
07/09/2007
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