Provider Demographics
NPI:1326378506
Name:LEVI, ORIT (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ORIT
Middle Name:
Last Name:LEVI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 ESTACADO LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4566
Mailing Address - Country:US
Mailing Address - Phone:214-552-5534
Mailing Address - Fax:
Practice Address - Street 1:3424 ESTACADO LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4566
Practice Address - Country:US
Practice Address - Phone:214-552-5534
Practice Address - Fax:214-407-6747
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106893235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149984001Medicaid
TX676535Medicare PIN
TX456606Medicare PIN