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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LACEY LEVITT · (Female)

NPI Number 1356892491
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/24/2016
Last updated 10/24/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 25857
  • MD License # 05027
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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