Provider Demographics
NPI:1073655957
Name:BRITTAN, ELIZABETH S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:S
Last Name:BRITTAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6081 S QUEBEC ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4538
Mailing Address - Country:US
Mailing Address - Phone:303-694-4124
Mailing Address - Fax:303-757-1533
Practice Address - Street 1:6081 S QUEBEC ST STE 202
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-4538
Practice Address - Country:US
Practice Address - Phone:303-694-4124
Practice Address - Fax:303-757-1533
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1168103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82646Medicare UPIN