Individual
DR. REBECCA L LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 EVERGREEN STREET, DRYDEN, NY 13053
(607) 273-1300
Mailing address
202 TAUGHANNOCK BLVD, PO BOX 366, ITHACA, NY 14851
(607) 277-4035
(607) 277-3888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145224
—
NY
Enumeration date
01/26/2006
Last updated
07/08/2007
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