Individual
DR. NICOLLE ELAINE LEVY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1619 MONROE ST, MADISON, WI 53711-2063
(608) 255-9330
Mailing address
1619 MONROE ST, MADISON, WI 53711-2063
(608) 255-9330
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2559-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39149600
—
WI
Enumeration date
11/02/2005
Last updated
12/02/2021
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