Individual
DR. BRUCE A LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20 BAY STREET, WESTPORT, CT 06880
(203) 227-7487
(203) 226-0651
Mailing address
20 BAY STREET, WESTPORT, CT 06880
(203) 227-7487
(203) 226-0651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000786
CT
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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