Doctor Name: | MRS. BRITTANY TODD |
NPI Number: | 1033548391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | P91123 |
Business Practice Address: | 1427 Genesee St Utica, NY - 135014343 |
Business Phone Number: | 3157988868 |
Business Fax Number: | |
Mailing Address: | 5330 Cooper St, VERNON |
State: | NY |
Postal Code: | 134763804 |
Phone Number: | 3153356751 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | P91123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |