Provider Demographics
NPI:1457182982
Name:SHLOMO LEVY, PSYD LLC
Entity type:Organization
Organization Name:SHLOMO LEVY, PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:347-545-0631
Mailing Address - Street 1:427 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1928
Mailing Address - Country:US
Mailing Address - Phone:347-545-0631
Mailing Address - Fax:347-545-0631
Practice Address - Street 1:427 SARATOGA DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1928
Practice Address - Country:US
Practice Address - Phone:347-545-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty