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Contact Information

BRAD W LEVITT, PSY.D
223 S MAIN ST
PAYETTE, ID83661-2852
 Phone: 208-649-7221
 Fax: 208-642-2019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRAD W LEVITT · (Male)

NPI Number 1174549075
Status Active
Credentials PSY.D
Entity Individual
Enumeration date 07/14/2006
Last updated 12/27/2010 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # LMFT3042
  • ID License # PSY-202138
  • OR License # T0446
  • ID Medicaid 807333100
  • ID Other N6294 BC/BS
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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