Individual
DR. ELLEN LEVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8772 BIG BEND BLVD, SAINT LOUIS, MO 63119-3730
(314) 962-7788
(314) 962-4158
Mailing address
621 HARPER AVE, WEBSTER GROVES, MO 63119-2216
(314) 962-7788
(314) 962-4158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01626
MO
Other
Enumeration date
11/09/2006
Last updated
10/02/2007
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