Provider Demographics
NPI:1558393256
Name:LEVIN, JULIE ANNE (MS CCC/L)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANNE
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MS CCC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8833 GROSS POINT RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1859
Mailing Address - Country:US
Mailing Address - Phone:847-329-8226
Mailing Address - Fax:847-329-8252
Practice Address - Street 1:8833 GROSS POINT RD
Practice Address - Street 2:SUITE 307
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1859
Practice Address - Country:US
Practice Address - Phone:847-329-8226
Practice Address - Fax:847-329-8252
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist