Provider Demographics
NPI:1649967530
Name:LONDER, BRITTANY (PHD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:LONDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 E RADIANT AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-8101
Mailing Address - Country:US
Mailing Address - Phone:847-502-8169
Mailing Address - Fax:
Practice Address - Street 1:10321 E RADIANT AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-8101
Practice Address - Country:US
Practice Address - Phone:847-502-8169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist