Individual
DR. STEPHEN GARY LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17100 W BLUEMOUND RD, SUITE 204, BROOKFIELD, WI 53005-5950
(262) 391-5780
(262) 754-3712
Mailing address
901 EVERGREEN CIRCLE, HARTLAND, WI 53029
(262) 367-8298
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1073057
WI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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