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NPI Code Detail

MEDICARE: BRITTANY DERY

MEDICARE: BRITTANY DERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCI47900625CA

General Provider Information

NPI Number : 1427983808
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY DERY
Provider Business Mailing Address
First Line : 3248 WINDFLOWER CIR
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-6384
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6265 SEPULVEDA BLVD STE 9
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-1126
Country : US
Telephone Number : 818-779-0555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ BRITTANY DERY ” Practice Location

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