Healthcare Provider Details

I. General information

NPI: 1457666307
Provider Name (Legal Business Name): BRITTANY LAUREN WEBBER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date: 01/11/2011
Reactivation Date: 05/13/2013

III. Provider practice location address

352 7TH AVE FL 3
NEW YORK NY
10001-5012
US

IV. Provider business mailing address

352 7TH AVE RM 306
NEW YORK NY
10001-5075
US

V. Phone/Fax

Practice location:
  • Phone: 347-963-8434
  • Fax:
Mailing address:
  • Phone: 347-963-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number35SI00786400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number020067
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: