Provider Demographics
NPI:1457666307
Name:WEBBER, BRITTANY LAUREN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LAUREN
Last Name:WEBBER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W 23RD ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2599
Mailing Address - Country:US
Mailing Address - Phone:347-963-8434
Mailing Address - Fax:
Practice Address - Street 1:352 7TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5012
Practice Address - Country:US
Practice Address - Phone:347-963-8434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2020-01-10
Deactivation Date:2011-01-11
Deactivation Code:
Reactivation Date:2013-05-13
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY020067103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health