Healthcare Provider Details

I. General information

NPI: 1689727794
Provider Name (Legal Business Name): ELIZABETH RAUCH LEFTIK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 436
DIABLO CA
94528-0436
US

IV. Provider business mailing address

PO BOX 436
DIABLO CA
94528-0436
US

V. Phone/Fax

Practice location:
  • Phone: 925-314-6354
  • Fax:
Mailing address:
  • Phone: 925-314-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 20066
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: