Dominic Letizia, PSYD is a
Psychologist - Clinical based in Indianapolis, Indiana. Dominic Letizia is licensed to practice in Indiana (license number 20042871A) and his current practice location is
350 E New York St Ste 240, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 433-6950.
NPI number for Dominic Letizia is 1215347802 and his current mailing address is 350 E New York St Ste 240, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215347802.
Healthcare Provider's Profile
| Full Name | Dominic Letizia |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 350 E New York St Ste 240, Indianapolis, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215347802
- Provider Enumeration Date: 05/05/2014
- Last Update Date: 06/06/2016
Medical Identifiers
Medical identifiers for Dominic Letizia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215347802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000548A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20042871A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominic Letizia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dominic Letizia, PSYD 350 E New York St Ste 240, Indianapolis, IN 46204-2134 Ph: (260) 433-6950 | Dominic Letizia, PSYD 350 E New York St Ste 240, Indianapolis, IN 46204-2134 Ph: (260) 433-6950 |
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