Provider Demographics
NPI:1669947990
Name:BRITTAIN, ALWYN (MASTER OF ARTS)
Entity type:Individual
Prefix:
First Name:ALWYN
Middle Name:
Last Name:BRITTAIN
Suffix:
Gender:M
Credentials:MASTER OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WAUPELANI DR APT F8
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-4430
Mailing Address - Country:US
Mailing Address - Phone:814-867-3513
Mailing Address - Fax:814-867-3513
Practice Address - Street 1:251 EASTERLY PKWY STE 201
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6316
Practice Address - Country:US
Practice Address - Phone:814-954-7251
Practice Address - Fax:814-954-7253
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-13
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty