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Provider Information for 1598787731


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Mrs. SHEILA LEVINE LMFT, LDAC


Sex: Female

NPI: 1598787731
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1598787731
Enumeration Date2006-07-24
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 72 NORTH ST
SUITE 205
DANBURY, CT 06810-5648
United States

Phone: 203-794-1044 | Fax:203-743-1110
 
Primary Practice Address 72 NORTH ST
SUITE 205
DANBURY, CT 06810-5648
United States

Phone: 203-794-1044 | Fax:203-743-1110
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCT004205763
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CT000549