Provider Demographics
NPI:1548815384
Name:DALBOW, BRITTANY (LMHC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:DALBOW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 SUYDAM ST STE A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-2637
Mailing Address - Country:US
Mailing Address - Phone:631-338-8734
Mailing Address - Fax:
Practice Address - Street 1:88 SUYDAM ST STE A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-2637
Practice Address - Country:US
Practice Address - Phone:631-338-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty