Provider Demographics
NPI:1154877389
Name:POPE, BRITTANY JOY (LPC, PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:JOY
Last Name:POPE
Suffix:
Gender:F
Credentials:LPC, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-0124
Mailing Address - Country:US
Mailing Address - Phone:907-204-0630
Mailing Address - Fax:907-290-2513
Practice Address - Street 1:1022 DUNTON ST
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-6107
Practice Address - Country:US
Practice Address - Phone:907-204-0630
Practice Address - Fax:907-290-2513
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK113884101YP2500X
AK216818103T00000X
OH00145922171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator