Provider Demographics
NPI:1326204231
Name:LEVINSON, HAGIT (PHD)
Entity Type:Individual
Prefix:
First Name:HAGIT
Middle Name:
Last Name:LEVINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:HAGIT
Other - Middle Name:
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:45 MOUNTAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TANNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18372-9685
Mailing Address - Country:US
Mailing Address - Phone:570-424-6187
Mailing Address - Fax:570-424-6271
Practice Address - Street 1:1172 W MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1329
Practice Address - Country:US
Practice Address - Phone:570-424-6187
Practice Address - Fax:570-424-6271
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004855101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional