Organization
TOLEDO BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C LEVINE PHD (CLINICAL PSYCHOLOGIST)
(419) 290-8489
Entity
Organization
Contact information
Practice address
2801 W. BANCROFT ST., MAIL STOP 948 UH5280, TOLEDO, OH 43606
(419) 290-8489
Mailing address
4611 KIMBALL CRK S, SYLVANIA, OH 43560-8206
(419) 290-8489
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217029
—
OH
Enumeration date
04/01/2019
Last updated
04/01/2019
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