Provider Demographics
NPI:1104987346
Name:LEVY, ANDREA HILLARY (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:HILLARY
Last Name:LEVY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1204 ERIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1640
Mailing Address - Country:US
Mailing Address - Phone:608-265-8490
Mailing Address - Fax:608-265-4572
Practice Address - Street 1:115 N ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1150
Practice Address - Country:US
Practice Address - Phone:608-265-8490
Practice Address - Fax:608-265-4572
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI382512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry