Provider Demographics
NPI:1073910410
Name:MOYERS, BRITTEN (MS)
Entity type:Individual
Prefix:
First Name:BRITTEN
Middle Name:
Last Name:MOYERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9816 CARR RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5608
Mailing Address - Country:US
Mailing Address - Phone:216-695-0327
Mailing Address - Fax:
Practice Address - Street 1:3455 58TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-1226
Practice Address - Country:US
Practice Address - Phone:727-231-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health