Provider Demographics
NPI:1285039198
Name:METCALF, BRITTANNIE MAE (MS)
Entity Type:Individual
Prefix:
First Name:BRITTANNIE
Middle Name:MAE
Last Name:METCALF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:BRITTANNIE
Other - Middle Name:METCALF
Other - Last Name:METCALF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:18 ESSEX ST APT 4
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2795
Mailing Address - Country:US
Mailing Address - Phone:978-702-7516
Mailing Address - Fax:
Practice Address - Street 1:18 ESSEX ST APT 4
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2795
Practice Address - Country:US
Practice Address - Phone:978-255-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health