Provider Demographics
NPI:1437110822
Name:LEVINTHAL, CAROL E (EDD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:E
Last Name:LEVINTHAL
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24400 HIGHPOINT RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6027
Mailing Address - Country:US
Mailing Address - Phone:216-831-2500
Mailing Address - Fax:216-831-4035
Practice Address - Street 1:24400 HIGHPOINT RD
Practice Address - Street 2:SUITE 9
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6027
Practice Address - Country:US
Practice Address - Phone:216-831-2500
Practice Address - Fax:216-831-4035
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4238103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHR71713Medicare UPIN
OHLECP08322Medicare ID - Type Unspecified