Provider Demographics
NPI:1194259051
Name:CARO, BRITTANY DANCY (PHD)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:DANCY
Last Name:CARO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:J
Other - Last Name:DANCY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6529
Practice Address - Street 1:964 ISABEL DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7482
Practice Address - Country:US
Practice Address - Phone:717-274-9777
Practice Address - Fax:717-274-9815
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018627103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103550605Medicaid
14346617OtherCAQH ID
PAPS018627OtherSTATE LICENSE - PSYCHOLOGIST