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Individual

DR. JAY I LEVINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2360 W JOPPA RD STE 318, GREENSPRING STATION, LUTHERVILLE, MD 21093-4639
(410) 825-3646
(410) 825-3649
Mailing address
2360 W JOPPA RD STE 318, GREENSPRING STATION, LUTHERVILLE, MD 21093-4639
(410) 825-3646
(410) 825-3649

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1336
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KF26
CAREFIRST BCBS
MD
01
W240
CAREFIRST BCBS
MD
Enumeration date
03/19/2007
Last updated
07/08/2007
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