Provider Demographics
NPI:1225464423
Name:LEVINSKY, ISAAC A (PSYD)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:A
Last Name:LEVINSKY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 W CHERRY ST STE C
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4114
Mailing Address - Country:US
Mailing Address - Phone:407-460-0418
Mailing Address - Fax:813-436-8494
Practice Address - Street 1:512 W CHERRY ST STE C
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4114
Practice Address - Country:US
Practice Address - Phone:407-460-0418
Practice Address - Fax:813-436-8494
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPPY182103TC0700X
FLPY9171103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical