Provider Demographics
NPI:1760279194
Name:MAZUR-RKIOUAK, BRITTANY LYN
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYN
Last Name:MAZUR-RKIOUAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8765 LAWTON DR
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1618
Mailing Address - Country:US
Mailing Address - Phone:330-607-3481
Mailing Address - Fax:
Practice Address - Street 1:1608 PORTAGE TRL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2109
Practice Address - Country:US
Practice Address - Phone:234-571-4046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist