Provider Demographics
NPI:1962657650
Name:LEVENSTEIN, BETH HELEN (SLP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:HELEN
Last Name:LEVENSTEIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 E 13TH ST
Mailing Address - Street 2:F5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7159
Mailing Address - Country:US
Mailing Address - Phone:718-376-2521
Mailing Address - Fax:
Practice Address - Street 1:1561 E 13TH ST
Practice Address - Street 2:F5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7159
Practice Address - Country:US
Practice Address - Phone:718-376-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007184-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist