Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY29169 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY29169 | CA |
NPI | 1003129479 |
---|---|
Provider Name | Kimberly Levit |
First Address | Redwood City, CA 94063-2612 |
Second Address | Redwood City, CA 94063-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2010 |
Last Update Date | 06/11/2018 |