Most Relevant Information
Provider Data
| NPI Number: | 1003208372 |
| Provider Name: | MICHAEL LEVI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2015 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
221 WALTHAM ST
LEXINGTON
MA
024214903
Practice Location Phone/Fax
| Phone: | 3397070232 |
| Fax: |
Provider Mailing Location
221 WALTHAM ST
LEXINGTON
MA
024214903
Provider Mailing Phone/Fax
| Phone: | 3397070232 |
| Fax: |