Individual
DR. BARBARA LEVITON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1100 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-1937
(505) 897-7883
(505) 792-8578
Mailing address
1100 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-1937
(505) 897-7883
(505) 792-8578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
308
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00JK47
BLUE CROSS BLUE SHIELD
NM
01
—
098495
VALUE OPTIONS
NM
01
—
106500
MHN
NM
01
—
76077522887114A001
TRIWEST HEALTHCARE ALLIAN
NM
01
—
760885228 0001
CIGNA HEALTHCARE
NM
05
—
NM100028
—
NM
Enumeration date
05/19/2006
Last updated
07/09/2007
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