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JOAN M. LEVICK GOLD PH.D.

Clinical Neuropsychologist

Valatie, New York

Provider NPI: 1124128657

Provider Information:
 JOAN M. LEVICK GOLD PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
7 THOMAS RD  VALATIE, NY 12184 US
Tel: 518-392-7314  Fax: 518-392-5764

Business Mailing Address:
PO BOX 118  CHATHAM, NY 12037 US
Tel: 518-392-7314  Fax: 518-392-5764

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY009681-1

Other Provider Identifiers:

IssuerNumberStateType
VALUE OPTIONS JOAN133586NY01
JOAN'S LICENSE009681-1NY01
01905259NY05
01416751NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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