Healthcare Provider Details
I. General information
NPI: 1851557789
Provider Name (Legal Business Name): BRITTANY J HARTMAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/30/2008
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
872 MASSACHUSETTS AVE SUITE 2-7
CAMBRIDGE MA
02139-3073
US
IV. Provider business mailing address
379 BEACON ST 2R
BOSTON MA
02116-1049
US
V. Phone/Fax
- Phone: 617-395-5806
- Fax:
- Phone: 786-302-5325
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: