Provider Demographics
NPI:1467028043
Name:LEVETO, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LEVETO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9648 MOHAWK RD
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-7920
Mailing Address - Country:US
Mailing Address - Phone:814-720-4200
Mailing Address - Fax:
Practice Address - Street 1:9648 MOHAWK RD
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-7920
Practice Address - Country:US
Practice Address - Phone:814-853-3928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC0133339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional