Provider Demographics
NPI:1144619289
Name:LEVY, SIGAL (PHD)
Entity Type:Individual
Prefix:DR
First Name:SIGAL
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SIGAL
Other - Middle Name:
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:7890 PETERS RD STE G107
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4028
Mailing Address - Country:US
Mailing Address - Phone:754-444-1950
Mailing Address - Fax:
Practice Address - Street 1:1633 POINCIANA DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4587
Practice Address - Country:US
Practice Address - Phone:754-444-1950
Practice Address - Fax:954-577-0075
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6118103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical