Individual
MS. EMILY ANN LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 390-3502
Mailing address
NEMOURS CHILDREN&APOS S CLINIC, P.O. BOX 409992, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440424200A
—
GA
05
—
892426100
—
FL
Enumeration date
05/28/2007
Last updated
05/16/2008
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