Provider Demographics
NPI:1326860388
Name:LEARY, BRITTANY ALYSE-ANN (AMFT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ALYSE-ANN
Last Name:LEARY
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4481 RIVER BRIAR CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-5160
Mailing Address - Country:US
Mailing Address - Phone:951-237-0830
Mailing Address - Fax:
Practice Address - Street 1:4481 RIVER BRIAR CT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-5160
Practice Address - Country:US
Practice Address - Phone:951-237-0830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist