Individual
DEBRA LEVIDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
20624 N 76TH ST, SCOTTSDALE, AZ 85255
(602) 908-3414
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 493-6310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3215
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
635344
AHCCCS
AZ
Enumeration date
11/17/2006
Last updated
07/08/2007
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