Organization
A & P LEVINE PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON RF LEVINE PHD (SECRETARY)
(303) 678-7455
Entity
Organization
Contact information
Practice address
709 KIMBARK ST, LONGMONT, CO 80501
(303) 678-7455
(303) 772-3887
Mailing address
709 KIMBARK ST, LONGMONT, CO 80501-4968
(303) 678-7455
(303) 772-3887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16607376
—
CO
Enumeration date
06/02/2006
Last updated
04/18/2012
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