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Individual

DR. CURTIS A. LEVANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8441 WAYZATA BLVD, SUITE 102, GOLDEN VALLEY, MN 55426-1344
(952) 541-4799
(763) 231-4445
Mailing address
4010 BAYSIDE RD, MAPLE PLAIN, MN 55359-9619
(952) 541-4799
(952) 541-4831

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1408
MN
106H00000X
Marriage & Family Therapist
0235
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68786LE
BLUE CROSS BLUE SHIELD
MN
05
763350500
MN
Enumeration date
05/14/2007
Last updated
12/16/2014
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