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DR. ROBERT BRONSON LEVIN PH.D.

Clinical Neuropsychologist

Brookfield, Wisconsin

Provider NPI: 1922180736

Provider Information:
DR. ROBERT BRONSON LEVIN PH.D.
Gender: M
Sole Proprietor


Practice Location:
16535 W BLUEMOUND RD # 200 BROOKFIELD, WI 53005 US
Tel: 262-542-3255  Fax: 262-821-6180

Business Mailing Address:
1150 S BOBOLINK DR  BROOKFIELD, WI 53005 US
Tel: 262-786-1139  Fax: 262-785-1139

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2205-057
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
WI2205
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
DC1188
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
VA0810000987
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MD1695
X103TF0200XBehavioral Health & Social Service Providers
Psychologist
WI2205-057
X103TF0200XBehavioral Health & Social Service Providers
Psychologist
DC1188

Other Provider Identifiers:

IssuerNumberStateType
LICENSE0810000987VA01
LICENSE1188DC01
LICENSE1695MD01
LICENSE2205-057WI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS WI - Page 1



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