Doctor Name: | DR. KRISTA M BRITTAIN |
NPI Number: | 1003937202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 001192 |
Business Practice Address: | 3408 Woodland Ave Suite 102 West Des Moines, IA - 502666506 |
Business Phone Number: | 5152252015 |
Business Fax Number: | 5152251744 |
Mailing Address: | 3408 Woodland Ave, Suite 102 WEST DES MOINES |
State: | IA |
Postal Code: | 502666506 |
Phone Number: | 5152306304 |
Fax Number: | 5152251744 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 001192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |