Provider Demographics
NPI:1609619279
Name:REGGETZ, BRITTNEY LYNN (MS)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LYNN
Last Name:REGGETZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SCOTT AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8857
Mailing Address - Country:US
Mailing Address - Phone:304-292-1716
Mailing Address - Fax:304-455-3076
Practice Address - Street 1:20 SCOTT AVE STE 401
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-8857
Practice Address - Country:US
Practice Address - Phone:304-292-1716
Practice Address - Fax:304-455-3076
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor