Provider Demographics
NPI:1780974394
Name:PETERS, BRITTANY (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:PETERS
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22444
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-2444
Mailing Address - Country:US
Mailing Address - Phone:727-373-6815
Mailing Address - Fax:850-220-1536
Practice Address - Street 1:3803 HAINES RD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-5625
Practice Address - Country:US
Practice Address - Phone:727-373-6815
Practice Address - Fax:850-220-1536
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical