Individual
ALEKSANDR LEVITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(602) 387-5313
(602) 387-5001
Mailing address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(602) 387-5313
(602) 387-5001
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4709
AZ
103TC0700X
Clinical Psychologist
Primary
4709
AZ
103TF0200X
Forensic Psychologist
4709
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13853693
CAQH
—
Enumeration date
08/16/2016
Last updated
10/07/2020
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