Provider Demographics
NPI:1316290323
Name:CHIDLEY, BRITTANY (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:CHIDLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7183 NAVAJO RD STE I
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-1650
Mailing Address - Country:US
Mailing Address - Phone:619-550-7447
Mailing Address - Fax:619-567-2311
Practice Address - Street 1:7183 NAVAJO RD STE I
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1650
Practice Address - Country:US
Practice Address - Phone:619-550-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52285106H00000X
CAPSY25950103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist