Healthcare Provider Details

I. General information

NPI: 1548705361
Provider Name (Legal Business Name): BRITTANY HAYDEN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 PEACH ST SUITE 185
ERIE PA
16501-2109
US

IV. Provider business mailing address

2445 W 34TH ST
ERIE PA
16506-3549
US

V. Phone/Fax

Practice location:
  • Phone: 814-835-3132
  • Fax: 814-480-8947
Mailing address:
  • Phone: 814-838-1954
  • Fax: 814-835-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS018202
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: