Provider Demographics
NPI:1487780847
Name:LEVILLE, DENISE ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:ANN
Last Name:LEVILLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4809
Mailing Address - Country:US
Mailing Address - Phone:603-545-8355
Mailing Address - Fax:603-715-2772
Practice Address - Street 1:30 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4809
Practice Address - Country:US
Practice Address - Phone:603-545-8355
Practice Address - Fax:603-715-2772
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist