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Individual

DR. ROBERT BRONSON LEVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
16535 W BLUEMOUND RD, # 200, BROOKFIELD, WI 53005-5936
(262) 542-3255
(262) 821-6180
Mailing address
1150 S BOBOLINK DR, BROOKFIELD, WI 53005-7205
(262) 786-1139
(262) 785-1139

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2205-057
WI
103TC0700X
Clinical Psychologist
0810000987
VA
103TC0700X
Clinical Psychologist
1188
DC
103TC0700X
Clinical Psychologist
Primary
1695
MD
103TC0700X
Clinical Psychologist
2205
WI
103TF0200X
Forensic Psychologist
1188
DC
103TF0200X
Forensic Psychologist
2205-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0810000987
LICENSE
VA
01
1188
LICENSE
DC
01
1695
LICENSE
MD
01
2205-057
LICENSE
WI
Enumeration date
10/20/2006
Last updated
09/11/2025
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