Provider Demographics
NPI:1548334030
Name:LEVIN, ERWIN KENNETH (PHD)
Entity type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:KENNETH
Last Name:LEVIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 N NEVILLE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2855
Mailing Address - Country:US
Mailing Address - Phone:412-682-5531
Mailing Address - Fax:412-682-5587
Practice Address - Street 1:552 N NEVILLE ST
Practice Address - Street 2:SUITE A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2855
Practice Address - Country:US
Practice Address - Phone:412-682-5531
Practice Address - Fax:412-682-5587
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004384L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA405798Medicare UPIN