Provider Demographics
NPI:1932807823
Name:BROWN, BRITTANY ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANNE
Other - Last Name:MARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 W CARLA VISTA DR UNIT 8010
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-4082
Mailing Address - Country:US
Mailing Address - Phone:602-730-1908
Mailing Address - Fax:
Practice Address - Street 1:5127 W MERCURY WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3627
Practice Address - Country:US
Practice Address - Phone:602-730-1908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-005448103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist