Provider Demographics
NPI:1013634476
Name:LEVIER, JOHN JR
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:LEVIER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 EDGEMONT RD APT B
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5264
Mailing Address - Country:US
Mailing Address - Phone:912-980-1975
Mailing Address - Fax:
Practice Address - Street 1:451 EDGEMONT RD APT B
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5264
Practice Address - Country:US
Practice Address - Phone:912-980-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities