Provider Demographics
NPI:1104488972
Name:KIRKPATRICK, BRETT
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6903 AVONDALE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1934
Mailing Address - Country:US
Mailing Address - Phone:347-907-0013
Mailing Address - Fax:
Practice Address - Street 1:5116 DORSEY HALL DR STE B
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7877
Practice Address - Country:US
Practice Address - Phone:410-995-8274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling