Provider Demographics
NPI:1386647360
Name:LEVENFUS GOLDSTEIN, HELENE (AUD)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:
Last Name:LEVENFUS GOLDSTEIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 MAYFIELD RD
Mailing Address - Street 2:STE 116
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2611
Mailing Address - Country:US
Mailing Address - Phone:216-381-5011
Mailing Address - Fax:216-381-9277
Practice Address - Street 1:5010 MAYFIELD RD
Practice Address - Street 2:STE 116
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2611
Practice Address - Country:US
Practice Address - Phone:216-381-5011
Practice Address - Fax:216-381-9277
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-00280231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000001400240OtherANTHEM BLUE CROSS
OH0007612025OtherAETNA US HEALTHCARE
OH0351168Medicaid
OH107261OtherKAISER PERMANENTE
OH000000140024OtherBC/BS FEDERAL
OH0000001400240OtherANTHEM BLUE CROSS