Most Relevant Information
Provider Data
| NPI Number: | 1003039702 |
| Provider Name: | FREDERICK C LEVY PHD LICENSED PSYCHOL |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PY5075 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1908 MICCOSUKEE RD
RICK LEVY PHD
TALLAHASSEE
FL
32308
Practice Location Phone/Fax
| Phone: | 8508776565 |
| Fax: | 8508776565 |
Provider Mailing Location
1908 MICCOSUKEE RD
RICK LEVY PHD
TALLAHASSEE
FL
32308
Provider Mailing Phone/Fax
| Phone: | 8508776565 |
| Fax: | 8508776565 |