Provider Demographics
NPI:1124100052
Name:LEVY, NAVIDEH LEVIEDDIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:NAVIDEH
Middle Name:LEVIEDDIN
Last Name:LEVY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:NAVIDEH
Other - Middle Name:LEVIEDDIN
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:31 W WINNIE WAY
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8048
Mailing Address - Country:US
Mailing Address - Phone:626-462-0933
Mailing Address - Fax:
Practice Address - Street 1:8170 BEVERLY BLVD STE 108
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4533
Practice Address - Country:US
Practice Address - Phone:323-653-5781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20781103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical