Provider Demographics
NPI:1235972316
Name:DAVIS, BRITTANY COBY (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:COBY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 LAKE LUCERNE WAY APT 303
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-2289
Mailing Address - Country:US
Mailing Address - Phone:708-663-1694
Mailing Address - Fax:
Practice Address - Street 1:8451 TEMPLE TERRACE HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-5853
Practice Address - Country:US
Practice Address - Phone:813-631-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist