Provider Demographics
NPI:1003922154
Name:LEVIN, DAVID P (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:LEVIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W JAMES ST # 206
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2911
Mailing Address - Country:US
Mailing Address - Phone:717-606-6286
Mailing Address - Fax:717-509-4005
Practice Address - Street 1:351 W JAMES ST # 206
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2911
Practice Address - Country:US
Practice Address - Phone:717-606-6286
Practice Address - Fax:717-509-4005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
11725905OtherCAQH