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Individual

ALLISON R LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
709 KIMBARK ST, LONGMONT, CO 80501
(303) 678-7455
(303) 772-3887
Mailing address
709 KIMBARK ST, LONGMONT, CO 80501
(303) 678-7455
(303) 772-3887

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CO1339
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16607376
CO
Enumeration date
09/01/2006
Last updated
10/12/2007
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