Provider Demographics
NPI:1962558213
Name:LEVY, RAY L (PHD)
Entity type:Individual
Prefix:DR
First Name:RAY
Middle Name:L
Last Name:LEVY
Suffix:
Gender:M
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:17480 DALLAS PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7337
Mailing Address - Country:US
Mailing Address - Phone:972-407-1191
Mailing Address - Fax:972-407-1305
Practice Address - Street 1:17480 DALLAS PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7337
Practice Address - Country:US
Practice Address - Phone:972-407-1191
Practice Address - Fax:972-407-1305
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX23782103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical