Provider Demographics
NPI:1871143818
Name:GARRETT, BRIANNA (BS IN PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:BS IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 W MISSISSIPPI AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-3043
Mailing Address - Country:US
Mailing Address - Phone:812-779-7554
Mailing Address - Fax:
Practice Address - Street 1:1330 W MISSISSIPPI AVE APT 208
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-3043
Practice Address - Country:US
Practice Address - Phone:812-779-7554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program