Provider Demographics
NPI:1528742996
Name:DOTY, BRITTNEY (MED)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:DOTY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-2203
Mailing Address - Country:US
Mailing Address - Phone:570-831-9881
Mailing Address - Fax:
Practice Address - Street 1:1 MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-2203
Practice Address - Country:US
Practice Address - Phone:570-831-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst