LETITIA ELIZABETH MADDOCK LVN
NPI 1336337377
Counselor - Mental Health in San Diego, CA
About Letitia Elizabeth Maddock Lvn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LETITIA ELIZABETH MADDOCK LVN (NPI 1336337377) is an individual mental health provider in San Diego, California and active in the NPI registry since October 2007.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Letitia Maddock's NPI number?
The NPI number for Letitia Maddock is 1336337377. It was assigned to this individual provider in the NPPES registry on October 3, 2007.
Where is Letitia Maddock located?
Letitia Maddock practices at 1260 Morena Blvd, San Diego, CA 92110. The listed phone number is (619) 398-0355.
What is Letitia Maddock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Letitia Maddock was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Letitia Elizabeth Maddock, LVN · NPI 1336337377
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since October 3, 2007.
## Identity
- **NPI:** 1336337377 (Entity type: Individual)
- **Enumerated:** October 3, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1260 MORENA BLVD, San Diego, CA 92110-3889
- **Phone:** (619) 398-0355
## Record status
- **NPPES last updated:** October 3, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1336337377) · Data from the CMS NPPES public registry.