Provider Demographics
NPI:1962986034
Name:LEVIN, KARA KATHLEEN (PHD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:KATHLEEN
Last Name:LEVIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GRACE COURT ALY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4206
Mailing Address - Country:US
Mailing Address - Phone:917-370-1196
Mailing Address - Fax:
Practice Address - Street 1:100 REMSEN ST STE 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4256
Practice Address - Country:US
Practice Address - Phone:917-818-4295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022895103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist