Provider Demographics
NPI:1912344706
Name:LITTLE, BRITTNEY ALEXIS
Entity Type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:ALEXIS
Last Name:LITTLE
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 1:36 MERRIMAC ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-3507
Mailing Address - Country:US
Mailing Address - Phone:203-435-5457
Mailing Address - Fax:
Practice Address - Street 1:36 MERRIMAC ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3507
Practice Address - Country:US
Practice Address - Phone:203-435-5457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT055741174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist