Provider Demographics
NPI:1568433340
Name:LEVITT, HOWARD A (LMFT)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:A
Last Name:LEVITT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:HOWARD
Other - Middle Name:A
Other - Last Name:LEVITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:4165 E THOUSAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-7224
Mailing Address - Country:US
Mailing Address - Phone:805-495-0375
Mailing Address - Fax:805-494-3599
Practice Address - Street 1:4165 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE 345
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3814
Practice Address - Country:US
Practice Address - Phone:805-495-0375
Practice Address - Fax:805-494-3599
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 5795106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist