Individual
DR. SANDRA BETH LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
295 GOVERNOR ST, PROVIDENCE, RI 02906-3241
(401) 861-0250
Mailing address
295 GOVERNOR ST, PROVIDENCE, RI 02906-3241
(401) 861-0250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00476
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3728-4
BLUE SHIELD
RI
Enumeration date
01/08/2007
Last updated
06/08/2011
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