Individual
JUDITH B LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
104 CHURCH LN, SUITE 204, BALTIMORE, MD 21208-3786
(410) 484-3037
(410) 484-5400
Mailing address
6013 WALLIS AVE, BALTIMORE, MD 21215-3731
(610) 952-6419
(410) 484-5400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04239
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014900610002
—
PA
Enumeration date
09/03/2008
Last updated
04/27/2010
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