Provider Demographics
NPI:1962951228
Name:RUTLAND, BRITTANY (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:RUTLAND
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 1:95 RATHBONE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-5957
Mailing Address - Country:US
Mailing Address - Phone:586-623-8184
Mailing Address - Fax:
Practice Address - Street 1:95 RATHBONE ST
Practice Address - Street 2:
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-5957
Practice Address - Country:US
Practice Address - Phone:586-623-8184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301019382103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical