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Individual

DR. BRUCE M. LEVINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3620 ANZA ST, SAN FRANCISCO, CA 94121-2825
(415) 386-4703
Mailing address
3620 ANZA ST, SAN FRANCISCO, CA 94121-2825
(415) 386-4703

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17249
CA
106H00000X
Marriage & Family Therapist
MFC37710
CA

Other

Enumeration date
07/20/2006
Last updated
11/13/2007
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