Provider Demographics
NPI:1619303724
Name:BUI, LEVITA YEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEVITA
Middle Name:YEN
Last Name:BUI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1859
Mailing Address - Country:US
Mailing Address - Phone:785-691-6688
Mailing Address - Fax:
Practice Address - Street 1:808 P ST # 403
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1361
Practice Address - Country:US
Practice Address - Phone:531-500-1455
Practice Address - Fax:877-775-0354
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE923103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist