Provider Demographics
NPI:1427289263
Name:EDGE, BRITTANY LYNN (LMFT)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:LYNN
Last Name:EDGE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 SHAYE CT
Mailing Address - Street 2:
Mailing Address - City:HUNKER
Mailing Address - State:PA
Mailing Address - Zip Code:15639-9548
Mailing Address - Country:US
Mailing Address - Phone:724-454-8741
Mailing Address - Fax:
Practice Address - Street 1:1404 SHAYE CT
Practice Address - Street 2:
Practice Address - City:HUNKER
Practice Address - State:PA
Practice Address - Zip Code:15639-9548
Practice Address - Country:US
Practice Address - Phone:724-454-8741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000575106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist