Individual
DR. ELLEN MARGARET LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3222 BURKE RD STE 109, PASADENA, TX 77504-1871
(713) 475-0111
Mailing address
1606 HAZARD ST, HOUSTON, TX 77019-5308
(281) 546-8281
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21136
TX
103TC1900X
Counseling Psychologist
21136
TX
103TH0100X
Health Service Psychologist
21136
TX
103TR0400X
Rehabilitation Psychologist
21136
TX
Other
Enumeration date
02/06/2007
Last updated
08/10/2009
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