Individual
JUDITH LEVINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 TAMAL PLZ, SUITE 102, CORTE MADERA, CA 94925-1125
(415) 927-3210
(415) 924-4803
Mailing address
336 BON AIR CTR, #225, GREENBRAE, CA 94904-3017
(415) 927-3210
(415) 924-4803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200820
PIN # FOR MHN
CA
Enumeration date
06/16/2006
Last updated
06/23/2010
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