Provider Demographics
NPI:1356396337
Name:JANET LEVENSON RAZ, PSY.D., P.A.
Entity type:Organization
Organization Name:JANET LEVENSON RAZ, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVENSON RAZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-309-1126
Mailing Address - Street 1:2531 E SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026-5009
Mailing Address - Country:US
Mailing Address - Phone:954-309-1126
Mailing Address - Fax:
Practice Address - Street 1:2531 E SARATOGA DR
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33026-5009
Practice Address - Country:US
Practice Address - Phone:954-309-1126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5455103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5034Medicare ID - Type UnspecifiedMEDICARE PROVIDER
FLK5034Medicare UPIN