Most Relevant Information
Provider Data
| NPI Number: | 1003590852 |
| Provider Name: | ILANA H LEVIN PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
1221 LOCUST ST STE 204
PHILADELPHIA
PA
191075570
Practice Location Phone/Fax
| Phone: | 2156689356 |
| Fax: |
Provider Mailing Location
40 OLD LANCASTER RD APT 101
MERION STATION
PA
190661753
Provider Mailing Phone/Fax
| Phone: | 4436100400 |
| Fax: |