Individual
DR. DANIEL NEAL LEVIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2727 MARSHALL CT, PSSC, MADISON, WI 53705-2255
(608) 238-9354
(608) 238-7675
Mailing address
3614 JOHN MUIR DR, MIDDLETON, WI 53562-5138
(608) 203-5015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1064-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064-057
CLINICAL PSYCHOLOGY LICEN
WI
Enumeration date
06/15/2006
Last updated
07/08/2007
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