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Individual

SUSAN WOOLLEY LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1738 UNION ST, SUITE 202, SAN FRANCISCO, CA 94123
(415) 820-3925
(415) 874-9144
Mailing address
1738 UNION ST, SUITE 202, SAN FRANCISCO, CA 94123
(415) 820-3925
(415) 874-9144

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY17907
CA
103T00000X
Psychologist
PSY17907
CA

Other

Enumeration date
05/02/2006
Last updated
04/19/2010
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