Organization
PENINSULA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY K LEVENSTON PH.D. (MANAGER)
(571) 236-3688
Entity
Organization
Contact information
Practice address
550 SE 6TH AVE, SUITE 200, DELRAY BEACH, FL 33483
(571) 236-3688
Mailing address
2234 N FEDERAL HWY, PMB #3011, BOCA RATON, FL 33431
(571) 236-3688
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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