Provider Demographics
NPI:1659561116
Name:LEVY, DANA KATHRYN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:KATHRYN
Last Name:LEVY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16161 VENTURA BLVD
Mailing Address - Street 2:#808
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2522
Mailing Address - Country:US
Mailing Address - Phone:310-825-2899
Mailing Address - Fax:
Practice Address - Street 1:16161 VENTURA BLVD
Practice Address - Street 2:#808
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2522
Practice Address - Country:US
Practice Address - Phone:310-825-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1004302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry