Individual
DR. JOAN IRENE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3558 ROUND BARN BLVD, SUITE 106, SANTA ROSA, CA 95403-1780
(707) 571-3706
(707) 571-3796
Mailing address
3558 ROUND BARN BLVD, SUITE 106, SANTA ROSA, CA 95403-1780
(707) 571-3706
(707) 571-3796
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16396
CA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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