Provider Demographics
NPI:1558093492
Name:LEVIN, GESELA (MS)
Entity Type:Individual
Prefix:MRS
First Name:GESELA
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:GESELA
Other - Middle Name:
Other - Last Name:JONAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:713 NEWFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-2908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:713 NEWFIELD AVE
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-2908
Practice Address - Country:US
Practice Address - Phone:203-559-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist