Provider Demographics
NPI:1154527539
Name:LEVANG AND ASSOCIATES, INC.
Entity type:Organization
Organization Name:LEVANG AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:952-541-4799
Mailing Address - Street 1:1000 SHELARD PKWY
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1053
Mailing Address - Country:US
Mailing Address - Phone:952-541-4799
Mailing Address - Fax:952-541-4799
Practice Address - Street 1:1000 SHELARD PKWY
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-1053
Practice Address - Country:US
Practice Address - Phone:952-541-4799
Practice Address - Fax:952-541-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1408103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN68786LEOtherBLUE CROSS BLUE SHIELD