Provider Demographics
NPI:1578017208
Name:BOMIL, BRITTANY (PSYD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BOMIL
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 1:35 INDUSTRIAL WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-6203
Mailing Address - Country:US
Mailing Address - Phone:207-594-2952
Mailing Address - Fax:888-714-5185
Practice Address - Street 1:35 INDUSTRIAL WAY STE 210
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-6203
Practice Address - Country:US
Practice Address - Phone:207-594-2952
Practice Address - Fax:888-714-5185
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS2541103TC0700X
NH1660103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical