Provider Demographics
NPI:1275601882
Name:LEVEN, SEYMOUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SEYMOUR
Middle Name:
Last Name:LEVEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 DENSMORE RD
Mailing Address - Street 2:
Mailing Address - City:CAVENDISH
Mailing Address - State:VT
Mailing Address - Zip Code:05142-9738
Mailing Address - Country:US
Mailing Address - Phone:802-226-7568
Mailing Address - Fax:
Practice Address - Street 1:244 DENSMORE RD
Practice Address - Street 2:
Practice Address - City:CAVENDISH
Practice Address - State:VT
Practice Address - Zip Code:05142-9738
Practice Address - Country:US
Practice Address - Phone:802-226-7568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301019596A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C03212Medicare UPIN