Individual
DR. SHELLIE-ANNE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD # G-901, GAINESVILLE, FL 32610-3003
(352) 265-0294
(352) 265-0096
Mailing address
PO BOX 100165, GAINESVILLE, FL 32610-0165
(617) 571-5928
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY9905
FL
103TC0700X
Clinical Psychologist
PY9905
FL
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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