Provider Demographics
NPI:1033453691
Name:MASSIE, BRITTNEY DAWN (MA LMFT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:DAWN
Last Name:MASSIE
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12240 HESPERIA RD STE A
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8309
Mailing Address - Country:US
Mailing Address - Phone:760-245-8837
Mailing Address - Fax:760-245-8834
Practice Address - Street 1:12240 HESPERIA RD STE A
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8309
Practice Address - Country:US
Practice Address - Phone:760-245-8837
Practice Address - Fax:760-245-8854
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90947106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist