Provider Demographics
NPI:1376667956
Name:DRS. OLSSON & LEVINSON, LLC
Entity Type:Organization
Organization Name:DRS. OLSSON & LEVINSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:I
Authorized Official - Last Name:LEVINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-825-3646
Mailing Address - Street 1:2360 W JOPPA RD STE 318
Mailing Address - Street 2:GREENSPRING STATION
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4639
Mailing Address - Country:US
Mailing Address - Phone:410-825-3646
Mailing Address - Fax:
Practice Address - Street 1:2360 W JOPPA RD STE 318
Practice Address - Street 2:GREENSPRING STATION
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4639
Practice Address - Country:US
Practice Address - Phone:410-825-3646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty