Individual
BETHANY LEVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
292 MADISON AVE, 2ND FLOOR, NEW YORK, NY 10017-6307
(212) 420-0510
Mailing address
160 E 85TH ST, APT 4E, NEW YORK, NY 10028-2133
(973) 727-8493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017628-1
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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