Individual
JUDITH LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
10 LANGLEY ROAD, SUITE 200, NEWTON, MA 02459
(617) 795-2599
Mailing address
111 WOOD END ROAD, NEWTON, MA 02461
(617) 795-2599
(617) 965-7050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3238
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WO3316
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/02/2006
Last updated
07/08/2007
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