Provider Demographics
NPI:1407194921
Name:CASE, BRITTANY KAY (APC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KAY
Last Name:CASE
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 S 500 E
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-4453
Mailing Address - Country:US
Mailing Address - Phone:435-654-3003
Mailing Address - Fax:435-654-3003
Practice Address - Street 1:2360 S 500 E
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-1234
Practice Address - Country:US
Practice Address - Phone:435-770-4747
Practice Address - Fax:435-654-3003
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8152466-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health