| NPI | 1922180736 |
|---|---|
| Professional Name | BRONSON LEVIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 2205-057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2205) |
| 103TC0700X Psychologist, Clinical (Licence: DC 1188) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810000987) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 1695) | |
| 103TF0200X Psychologist, Forensic (Licence: WI 2205-057) | |
| 103TF0200X Psychologist, Forensic (Licence: DC 1188) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |