Individual
DR. BRUCE ALAN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9107 WILSHIRE BLVD, SUITE 475, BEVERLY HILLS, CA 90210-5531
(516) 643-0400
Mailing address
9107 WILSHIRE BLVD, SUITE 475, BEVERLY HILLS, CA 90210-5531
(516) 643-0400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
004467
NY
103T00000X
Psychologist
Primary
PSY20225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004467
NY LICENSE
NY
01
—
106765500
US DEPT OF LABOR
—
01
—
PSY20225
CA LICENSE
CA
Enumeration date
07/05/2006
Last updated
09/21/2015
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