Provider Demographics
NPI:1932852282
Name:LEVENSON, HANNA (PHD)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:LEVENSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:HANNA-MAE
Other - Middle Name:
Other - Last Name:LEVENSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 SPY GLASS HL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-2307
Mailing Address - Country:US
Mailing Address - Phone:510-547-1245
Mailing Address - Fax:
Practice Address - Street 1:5 SPYGLASS HILL
Practice Address - Street 2:UNDEFINED
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-2703
Practice Address - Country:US
Practice Address - Phone:510-913-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5256103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty