Provider Demographics
NPI:1356537609
Name:LEVY, ALEXIS ENGEL (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:ENGEL
Last Name:LEVY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 SW 43RD TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2273
Mailing Address - Country:US
Mailing Address - Phone:352-262-2980
Mailing Address - Fax:
Practice Address - Street 1:11 NW 33RD CT
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2552
Practice Address - Country:US
Practice Address - Phone:352-262-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6787103TC0700X
OH4822103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical