Individual
DR. ANSON J. LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1460 7TH ST, SANTA MONICA, CA 90401-2629
(310) 454-0583
(310) 459-2423
Mailing address
572 DRYAD RD, SANTA MONICA, CA 90402-1318
(310) 454-0583
(310) 459-2423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 7090
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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