Most Relevant Information
Provider Data
| NPI Number: | 1003197740 |
| Provider Name: | JUSTIN M LEVITAN MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW-010906-L |
Most Important Dates
| Enumeration Date: | 09/08/2011 |
| Last Updated: | 09/08/2011 |
Provider Practice Location
234 S BRYN MAWR AVE
100
BRYN MAWR
PA
190102133
Practice Location Phone/Fax
| Phone: | 6105256246 |
| Fax: | 6105252552 |
Provider Mailing Location
234 S BRYN MAWR AVE
100
BRYN MAWR
PA
190102133
Provider Mailing Phone/Fax
| Phone: | 6105256246 |
| Fax: | 6105252552 |