Individual
DR. HEATHER E. LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
438 CAMBRIDGE AVE, SUITE 245, PALO ALTO, CA 94306-1579
(650) 323-5425
Mailing address
438 CAMBRIDGE AVE, SUITE 245, PALO ALTO, CA 94306-1579
(650) 323-5425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770311094
TAX IDENTIFICATION NUMBER 770311094
—
Enumeration date
10/22/2010
Last updated
03/17/2018
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