Provider Demographics
NPI:1124017991
Name:BETTY J BRITT PHD INC
Entity Type:Organization
Organization Name:BETTY J BRITT PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-842-4180
Mailing Address - Street 1:2511 NW 68TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-4707
Mailing Address - Country:US
Mailing Address - Phone:405-842-4180
Mailing Address - Fax:405-842-9799
Practice Address - Street 1:2511 NW 68TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-4707
Practice Address - Country:US
Practice Address - Phone:405-842-4180
Practice Address - Fax:405-842-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK222103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========001OtherBC/BS