Levi Daunt Zitting
Individual provider Active NPI Psychologist · Hildale, UT
NPI 1558071233 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1558071233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 10074703-2501 (UT)
- Practice address
- 740 N Hammon St # 2056
Hildale, UT 84784-7794 - Phone
- (435) 212-3108
- NPI assigned
- Dec 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10074703-2506 | UT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 10074703-2506 | UT | |
| Psychologist | 103T00000X | 10074703-2501 | UT | Yes |
Addresses
Primary practice location
740 N Hammon St # 2056
Hildale, UT 84784-7794
Mailing address
PO Box 131
Island Park, ID 83429-0131
Phone (385) 244-0588
Other providers in Hildale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.