Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD W LEVITT, PSY.D
Active Sole ProprietorDR. BRAD W LEVITT, PSY.D is a Clinical Psychologist healthcare provider located in PAYETTE, Idaho. NPI 1174549075 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PAYETTE, ID
Registration Details
- NPI Number
- 1174549075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.06852593704 yrs)
- Last Updated
- Dec 27, 2010
- Licenses
-
PSY-202138 (ID)T0446 (OR)PSY-202138 (ID)LMFT3042 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
223 S MAIN STPAYETTE, ID, 836612852Browse ID providers · Browse ZIP 83661
- Phone
- 2086497221
- Fax
- 2086422019
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.