Provider Demographics
NPI:1568941599
Name:JUDITH M. LEVY, LLC
Entity Type:Organization
Organization Name:JUDITH M. LEVY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-707-8337
Mailing Address - Street 1:3440 ASSOCIATED WAY APT 300
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6019
Mailing Address - Country:US
Mailing Address - Phone:410-707-8337
Mailing Address - Fax:443-501-3997
Practice Address - Street 1:3440 ASSOCIATED WAY APT 300
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-6019
Practice Address - Country:US
Practice Address - Phone:410-707-8337
Practice Address - Fax:443-501-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-10
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00788251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management