Individual
AMY MARIE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3362
Mailing address
31 KILLINGWORTH TPKE, CLINTON, CT 06413-1327
(203) 230-2815
(203) 230-8502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001866
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001866
LICENSE #
CT
Enumeration date
03/06/2007
Last updated
11/02/2021
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