Provider Demographics
NPI:1548522907
Name:VAN EVERA, BRITTANY LYNN (MA, NCSP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:VAN EVERA
Suffix:
Gender:F
Credentials:MA, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 N WESTCOTT RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-2014
Mailing Address - Country:US
Mailing Address - Phone:518-280-0083
Mailing Address - Fax:518-280-0086
Practice Address - Street 1:1136 N WESTCOTT RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-2014
Practice Address - Country:US
Practice Address - Phone:518-280-0083
Practice Address - Fax:518-280-0086
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool