Provider Demographics
NPI:1013135326
Name:LEVY, PAULA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 LINDEN TREE RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-1619
Mailing Address - Country:US
Mailing Address - Phone:203-761-9587
Mailing Address - Fax:203-761-9587
Practice Address - Street 1:40 CROSS ST
Practice Address - Street 2:SUITE 240
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-761-9587
Practice Address - Fax:203-761-9587
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist