Provider Demographics
NPI:1871692525
Name:LEVENSON, HAYLEY MICHAEL (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:HAYLEY
Middle Name:MICHAEL
Last Name:LEVENSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 STUYVESANT OVAL APT 11D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-1903
Mailing Address - Country:US
Mailing Address - Phone:732-616-2990
Mailing Address - Fax:
Practice Address - Street 1:400 1ST AVE
Practice Address - Street 2:ROOM 111
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4004
Practice Address - Country:US
Practice Address - Phone:212-802-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12127556235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12127556OtherASHA MEMBER