Provider Demographics
NPI:1578554440
Name:LEVITCH, LENNA MALLIN (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:LENNA
Middle Name:MALLIN
Last Name:LEVITCH
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14024 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3680
Mailing Address - Country:US
Mailing Address - Phone:913-669-3331
Mailing Address - Fax:913-681-3134
Practice Address - Street 1:12140 NALL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2503
Practice Address - Country:US
Practice Address - Phone:913-498-6723
Practice Address - Fax:913-498-6794
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS