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Individual

DR. CAROL ANN LEVETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
104 STATE ROUTE 81, WEST COXSACKIE, NY 12192-1202
(518) 755-7935
(518) 751-1317
Mailing address
104 STATE ROUTE 81, WEST COXSACKIE, NY 12192-1202
(518) 755-7935
(518) 751-1317

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
005385-1
NY
103TC0700X
Clinical Psychologist
Primary
005385-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040520
GHI
NY
05
00555371
NY
01
10029317
CDPHP
NY
01
131588
VALUE OPTIONS
NY
01
142102000
MAGELLAN
NY
01
16412
UBH
NY
01
16737
MHN
NY
01
22657
BLUE SHIELD
NY
01
960145
MVP
NY
Enumeration date
03/21/2006
Last updated
12/04/2023
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