Cheryl Paula Levin, PH.D.

Individual provider Active NPI Clinical Psychologist · Sun City Ctr, FL

NPI 1720177587 · NPPES record last updated Jun 24, 2013

Key facts

NPI
1720177587
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2117 (MA)
Practice address
916 Regal Manor Way
Sun City Ctr, FL 33573-6580
Phone
(617) 396-4695
Fax
(148) 478-4011
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2117 MA Yes

Addresses

Primary practice location

916 Regal Manor Way
Sun City Ctr, FL 33573-6580

Mailing address

916 Regal Manor Way
Sun City Ctr, FL 33573-6580
Phone (617) 396-4695

Other identifiers

IdentifierTypeStateIssuer
30514OtherMANATIONAL REGISTER

Other providers in Sun City Ctr, FL

All providers in Sun City Ctr, FL · Clinical Psychologist in Florida

Sources for this page

Verify at the official NPI Registry.