Levitt, Brad W

Levitt, Brad W is an sole proprietor health care provider with primary practice located at 223 S Main St , Payette ID 83661-2852. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Levitt, Brad W can be contacted via phone (208) 649-7221.

Contact Information

Primary practice address
223 S Main St Payette ID 83661-2852
Phone: (208) 649-7221
Fax: (208) 642-2019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-202138 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0446 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202138 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT3042 Idaho

Profile Details

NPI number 1174549075
LBN Legal business name Levitt, Brad W
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Dec 27th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174549075 NPPES
Idaho Other N6294 BC/BS
Idaho MEDICAID 807333100 BC/BS

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