Provider Demographics
NPI:1073768172
Name:LEVETOWN, BETH M (MA CCC BILINGUAL SPL)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:M
Last Name:LEVETOWN
Suffix:
Gender:F
Credentials:MA CCC BILINGUAL SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 77TH ST
Mailing Address - Street 2:APARTMENT 3423
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10162-0025
Mailing Address - Country:US
Mailing Address - Phone:212-988-2838
Mailing Address - Fax:212-988-2838
Practice Address - Street 1:210 E 86TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-3003
Practice Address - Country:US
Practice Address - Phone:201-315-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008781-1235Z00000X
NJ41YS00255800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist