Provider Demographics
NPI:1184260309
Name:LEVITT, MICHAEL (CBT THERAPIST)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:LEVITT
Suffix:
Gender:M
Credentials:CBT THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 THE WEST MALL, BOX 85024 SHERWAY GARDENS RD
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ON
Mailing Address - Zip Code:M9C5N4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1511-215 SHERWAY GARDENS RD
Practice Address - Street 2:
Practice Address - City:ETOBICOKE
Practice Address - State:ONTARIO
Practice Address - Zip Code:M9C0A4
Practice Address - Country:CA
Practice Address - Phone:647-515-5675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst