Provider Demographics
NPI:1447560008
Name:CARSWELL, BRITTANY BRUCATO (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:BRUCATO
Last Name:CARSWELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:AMBER
Other - Last Name:BRUCATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:205 S HOOVER BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3500
Mailing Address - Country:US
Mailing Address - Phone:813-563-1155
Mailing Address - Fax:
Practice Address - Street 1:205 S HOOVER BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3500
Practice Address - Country:US
Practice Address - Phone:813-563-1155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8451103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical