Provider Demographics
NPI:1528415072
Name:PLANTE, BRITTAN
Entity Type:Individual
Prefix:
First Name:BRITTAN
Middle Name:
Last Name:PLANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5548 W 11350 N
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-9051
Mailing Address - Country:US
Mailing Address - Phone:801-380-8493
Mailing Address - Fax:
Practice Address - Street 1:5548 W 11350 N
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-9051
Practice Address - Country:US
Practice Address - Phone:801-380-8493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-14
Last Update Date:2016-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker