Healthcare Provider Details

I. General information

NPI: 1316290323
Provider Name (Legal Business Name): BRITTANY CHIDLEY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7183 NAVAJO RD STE I
SAN DIEGO CA
92119-1650
US

IV. Provider business mailing address

7183 NAVAJO RD STE I
SAN DIEGO CA
92119-1650
US

V. Phone/Fax

Practice location:
  • Phone: 619-550-7447
  • Fax:
Mailing address:
  • Phone: 619-550-7447
  • Fax: 619-567-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY25950
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number52285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: