Individual
DR. MAURICE ADAM LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
101 N INDIAN HILL BLVD STE C1-200, CLAREMONT, CA 91711-4667
(866) 200-9090
Mailing address
101 N INDIAN HILL BLVD, STE- C1-200, CLAREMONT, CA 91711
(866) 200-9090
(516) 468-6028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
016660-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
Primary
016660-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
29728
CA
103TC0700X
Clinical Psychologist
016660-1
NY
103TC0700X
Clinical Psychologist
29728
CA
103TC2200X
Clinical Child & Adolescent Psychologist
016660-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
29728
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
29728
CA
103TS0200X
School Psychologist
0166601
NY
103TS0200X
School Psychologist
29728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-5987838
EMPLOYEE ID #
NY
Enumeration date
03/15/2007
Last updated
01/04/2018
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