Individual
BETSY K LEVINE-PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1330 LINCOLN AVE STE 306, SAN RAFAEL, CA 94901-2143
(415) 497-6634
Mailing address
1 LINCOLN PARK UNIT 105, SAN ANSELMO, CA 94960-2565
(415) 497-6634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY7136
CA
Other
Enumeration date
10/05/2006
Last updated
03/25/2024
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