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Individual

DR. ROBERT MORTON LEVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
52 WOODCHUCK HILL RD, CANTON, CT 06019-2131
(860) 651-7648
Mailing address
PO BOX 605, WEST SIMSBURY, CT 06092-0605
(860) 651-7648

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
374
CT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
374
CT

Other

Enumeration date
02/17/2012
Last updated
02/17/2012
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