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NPI Code Detail

MEDICARE: BRITTANY LYNN MITTON TLLP

MEDICARE: BRITTANY LYNN MITTON TLLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist6352000927MI

General Provider Information

NPI Number : 1154140853
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY LYNN MITTON TLLP
Provider Business Mailing Address
First Line : 11523 BURGER DR
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-4469
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 S CRAPO ST
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-2941
Country : US
Telephone Number : 989-772-5930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 05/27/2026

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Directions to “ BRITTANY LYNN MITTON TLLP” Practice Location

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