Individual
DR. JOEL KUTNER LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6315 GULFTON ST STE 100, HOUSTON, TX 77081-1107
(713) 457-4372
(713) 457-0945
Mailing address
5534 HUMMINGBIRD ST, HOUSTON, TX 77096-4922
(713) 569-9948
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23083
TX
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23083
TEXAS PSYCHOLOGIST LIC.
TX
01
—
620005535
RAILROAD MEDICAREPROVIDER
TX
Enumeration date
03/30/2007
Last updated
06/17/2022
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