Provider Demographics
NPI:1326146515
Name:BRITT, RENE J (PHD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:J
Last Name:BRITT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:861 N DEAN RD STE D
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-9421
Mailing Address - Country:US
Mailing Address - Phone:334-887-4343
Mailing Address - Fax:334-887-5656
Practice Address - Street 1:861 N DEAN RD STE D
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9421
Practice Address - Country:US
Practice Address - Phone:334-887-4343
Practice Address - Fax:334-887-5656
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1018103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL45-4808822OtherTAX ID
AL51513898OtherOLD BCBS PROVIDER NUMBER
AL515-35970OtherBCBS OF ALABAMA
ALS94837Medicare UPIN