Organization
BRAIN INSIGHTS PSYCHOLOGICAL SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKELL LETHCO PSYD (OWNER, NEUROPSYCHOLOGIST)
(925) 322-1261
Entity
Organization
Contact information
Practice address
1910 OLYMPIC BLVD STE 300, WALNUT CREEK, CA 94596-5077
(925) 322-1261
Mailing address
1910 OLYMPIC BLVD STE 300, WALNUT CREEK, CA 94596-5077
(925) 322-1261
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/04/2025
Last updated
10/07/2025
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