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Individual

DR. MARTIN RAY LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH. D.

Contact information

Practice address
6614 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 296-8572
(520) 885-3922
Mailing address
6614 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 296-8572
(520) 885-3922

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0223
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0130910
BCBS PROVIDER ID
AZ
Enumeration date
04/03/2006
Last updated
07/08/2007
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