Individual
DR. JENNIFER B LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-6260
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 286-6260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224396
UNISON
OH
01
—
000000533015
ANTHEM
OH
05
—
2531246
—
OH
01
—
363764
WELLCARE MEDICAID
OH
01
—
7181793
AETNA
OH
01
—
P00342400
RAILROAD MEDICARE
OH
01
—
P00457954
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
01/13/2021
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