Provider Demographics
NPI:1992732069
Name:LEVY, RICHARD J (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:840 HINCKLEY ROAD
Mailing Address - Street 2:SUITE 148
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1517
Mailing Address - Country:US
Mailing Address - Phone:650-552-9007
Mailing Address - Fax:650-552-0087
Practice Address - Street 1:840 HINCKLEY ROAD
Practice Address - Street 2:SUITE 148
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1517
Practice Address - Country:US
Practice Address - Phone:650-552-9007
Practice Address - Fax:650-552-0087
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA183202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry