Provider Demographics
NPI:1821853151
Name:WITSCHER, BRITTANY FAITH
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:FAITH
Last Name:WITSCHER
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 1:4388 BOONE TRL
Mailing Address - Street 2:
Mailing Address - City:MILLERS CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:28651-9059
Mailing Address - Country:US
Mailing Address - Phone:336-566-5346
Mailing Address - Fax:
Practice Address - Street 1:4388 BOONE TRL
Practice Address - Street 2:
Practice Address - City:MILLERS CREEK
Practice Address - State:NC
Practice Address - Zip Code:28651-9059
Practice Address - Country:US
Practice Address - Phone:336-566-5346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician