Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | D0032313 | MD |
Y | 103T00000X | Psychologist | D0032313 | MD |
NPI | 1003898909 |
---|---|
Provider Name | Mrs. Ilana Bar-Levav |
First Address | Bethesda, MD 20814-2425 |
Second Address | Bethesda, MD 20814-2425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 08/07/2007 |