Organization
JIM LEVASSEUR GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRUCE LEVASSEUR PH.D. (PRESIDENT)
(813) 980-2094
Entity
Organization
Contact information
Practice address
12909 N 56TH ST, SUITE 102, TEMPLE TERRACE, FL 33617-1275
(813) 980-2094
(813) 980-2094
Mailing address
12909 N 56TH ST, SUITE 102, TEMPLE TERRACE, FL 33617-1275
(813) 980-2094
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY 5991
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY 5991
FL
103TC0700X
Clinical Psychologist
PY 5991
FL
103TF0200X
Forensic Psychologist
Primary
PY 5991
FL
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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