Individual
MR. GARY DREW LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
1101 B EAST HIGH STREET, CHARLOTTESVILLE, VA 22902
(434) 984-5218
(434) 293-2041
Mailing address
601 RIFE RD, WAYNESBORO, VA 22980-4919
(540) 942-3304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002881
VA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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