Individual
WILLIAM M. LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
8611 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2856
(215) 360-9663
Mailing address
8620 EVERGREEN PL, PHILADELPHIA, PA 19118-3321
(215) 360-9663
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016536
PA
Other
Enumeration date
12/19/2006
Last updated
09/03/2010
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