Provider Demographics
NPI:1972785087
Name:LEVINTON, LAINEE M (MA-CCC/A)
Entity Type:Individual
Prefix:MS
First Name:LAINEE
Middle Name:M
Last Name:LEVINTON
Suffix:
Gender:F
Credentials:MA-CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ELWYN RD
Mailing Address - Street 2:
Mailing Address - City:ELWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4622
Mailing Address - Country:US
Mailing Address - Phone:610-891-2189
Mailing Address - Fax:610-891-7000
Practice Address - Street 1:111 ELWYN RD
Practice Address - Street 2:YAGO BLDG SUITE B1
Practice Address - City:ELWYN
Practice Address - State:PA
Practice Address - Zip Code:19063-4622
Practice Address - Country:US
Practice Address - Phone:610-891-2189
Practice Address - Fax:610-891-7000
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005887231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist