Healthcare Provider Details

I. General information

NPI: 1912510892
Provider Name (Legal Business Name): BRITTANY IYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 MAIN ST STE 17A
WINCHESTER MA
01890-2940
US

IV. Provider business mailing address

17 MARSHALL ST
NORTH READING MA
01864-3012
US

V. Phone/Fax

Practice location:
  • Phone: 617-765-0056
  • Fax:
Mailing address:
  • Phone: 617-764-6088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10001026
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: