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SUSAN WOOLLEY LEVINE PHD

Clinical Neuropsychologist

San Francisco, California

Provider NPI: 1265490965

Provider Information:
 SUSAN WOOLLEY LEVINE PHD
Gender: F
Sole Proprietor


Practice Location:
1738 UNION ST SUITE 202 SAN FRANCISCO, CA 94123 US
Tel: 415-820-3925  Fax: 415-874-9144

Business Mailing Address:
1738 UNION ST SUITE 202 SAN FRANCISCO, CA 94123 US
Tel: 415-820-3925  Fax: 415-874-9144

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY17907
N103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY17907

Other Provider Identifiers:

IssuerNumberStateType
P5502602
0PL179070CA04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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