1326323171 NPI number — MRS. STEPHANIE LYNN BRITTON LPC

Table of content: MRS. STEPHANIE LYNN BRITTON LPC (NPI 1326323171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326323171 NPI number — MRS. STEPHANIE LYNN BRITTON LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRITTON
Provider First Name:
STEPHANIE
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MALOOF
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326323171
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1240 BAMBURG CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HANOVER PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60133-5243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-372-6599
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1240 BAMBURG CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANOVER PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60133-5243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-372-6599
Provider Business Practice Location Address Fax Number:
630-372-6697
Provider Enumeration Date:
10/12/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  178007091 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 178007091 . This is a "LICENSED PROFESSIONAL COUNSELOR" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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