Provider Demographics
NPI:1669535878
Name:CANADY, BRITTANY ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:CANADY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ELIZABETH
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1448 10TH AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1249 15TH ST STE 2000
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3662
Practice Address - Country:US
Practice Address - Phone:304-691-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004144103TC0700X
WV1115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA600599-338OtherMAGELLAN BEHAVIORAL HEALTH
VAPAROtherAETNA
VAPAROtherCOVENTRY HEALTH CARE
VAPAROtherUSA MANAGED HEALTH CARE
VAPAROtherVA HEALTH NETWORK
VA1669535878Medicaid
VA451920OtherMANAGED HEALTH NETWORK
VAPAROtherCIGNA BEHAVIORAL HEATLH
VA388464OtherANTHEM BEHAVORIAL HEALTH
VAPAROtherVA PREMIER HEALTH
VAPAROtherMULTIPLAN
VA1669535878OtherOPTIMA BEHAVIORAL HEALTH
VAPAROtherCORVEL/CORCARE
VAPAROtherUNITED BEHAVIORAL HEALTH
VA1669535878OtherOPTIMA BEHAVIORAL HEALTH
VA021149E30Medicare PIN