National Provider Identifier Database

LACEY LEVITT, PhD – NPI #1356892491
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LACEY LEVITT, PhD
480 ALTA RD
R.J. DONOVAN CORRECTIONAL FACILITY
SAN DIEGO, CA92179-0001
Phone: 619-661-6500
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LACEY LEVITT

NPI Number 1356892491
Credentials PhD
Entity Individual
Enumeration date 10/24/2016
Last updated 10/24/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 25857
  • MD License #: 05027
Hospital affiliation n/a

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.

Reviews for LACEY LEVITT, PhD

There are currently no reviews for LACEY LEVITT, PhD


NPIdb - Home
v2.201