Provider Demographics
NPI:1134837149
Name:LEVITAN, NORMAN HADLEY (LMFT)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:HADLEY
Last Name:LEVITAN
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 OAKS LN APT 702
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3738
Mailing Address - Country:US
Mailing Address - Phone:954-444-3355
Mailing Address - Fax:
Practice Address - Street 1:575 OAKS LN APT 702
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3738
Practice Address - Country:US
Practice Address - Phone:954-444-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4508106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL465433666OtherPRIVATEPAY