Most Relevant Information
Provider Data
| NPI Number: | 1003315250 |
| Provider Name: | BRUCE MARSHALL LEVINE MA |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/02/2018 |
| Last Updated: | 02/02/2018 |
Provider Practice Location
91 NORTHWEST DR
PLAINVILLE
CT
060621534
Practice Location Phone/Fax
| Phone: | 8887933500 |
| Fax: |
Provider Mailing Location
91 NORTHWEST DR
PLAINVILLE
CT
060621534
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |