Provider Demographics
NPI:1275395246
Name:KLIMEK, BRITTANY ANNE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANNE
Last Name:KLIMEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1532
Mailing Address - Country:US
Mailing Address - Phone:732-693-1603
Mailing Address - Fax:
Practice Address - Street 1:466 SOUTHERN BLVD STE 3
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1462
Practice Address - Country:US
Practice Address - Phone:973-370-9944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ233-064103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical