Organization
STEPHEN G. LEVINE, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GARY LEVINE PH.D. (PSYCHOLOGIST)
(262) 391-5780
Entity
Organization
Contact information
Practice address
17100 W BLUEMOUND RD, SUITE 204, BROOKFIELD, WI 53005-5950
(262) 391-5780
(262) 754-3712
Mailing address
17100 W BLUEMOUND RD, SUITE 204, BROOKFIELD, WI 53005-5950
(262) 391-5780
(262) 754-3712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1073-057
WI
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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