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Contact Information

BRUCE L LEVINE, PhD
53 S MAIN ST
SUITE 302
HANOVER, NH03755-2022
 Phone: 603-676-7711
 Fax: 603-676-7711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRUCE L LEVINE · (Male)

NPI # 1124146105
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/27/2007
Last updated 10/29/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 421
  • VT License # 48-618
  • NH Medicaid 30420051
  • VT Medicaid OVN0954
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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