Provider Demographics
NPI:1730271925
Name:LEVY ALBERT, SALLY (MFT)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:LEVY ALBERT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:SALLY LEVY
Other - Middle Name:
Other - Last Name:ALBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:626 BALBOA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3725
Mailing Address - Country:US
Mailing Address - Phone:415-533-8922
Mailing Address - Fax:650-738-5758
Practice Address - Street 1:626 BALBOA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3725
Practice Address - Country:US
Practice Address - Phone:415-533-8922
Practice Address - Fax:650-738-5758
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29828106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist