Healthcare Provider Details

I. General information

NPI: 1891546594
Provider Name (Legal Business Name): BRITTANY CROWLEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 MARK DABLING BLVD
COLORADO SPRINGS CO
80919-2221
US

IV. Provider business mailing address

2312 N NEVADA AVE STE 100
COLORADO SPRINGS CO
80907-5307
US

V. Phone/Fax

Practice location:
  • Phone: 719-473-3272
  • Fax: 719-389-1191
Mailing address:
  • Phone: 719-473-3272
  • Fax: 719-389-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY.0006229
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6229
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0006229
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: