Individual
DR. JAMES BRUCE LEVASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12909 N 56TH ST, SUITE 209, TEMPLE TERRACE, FL 33617-1275
(813) 980-2094
(813) 980-2094
Mailing address
507 LAKESHORE DR, EUSTIS, FL 32726-4026
(813) 598-3259
(407) 374-5112
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 5991
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY 5991
FL
103TC0700X
Clinical Psychologist
PY 5991
FL
103TF0200X
Forensic Psychologist
PY 5991
FL
Other
Enumeration date
05/24/2007
Last updated
10/24/2018
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