Provider Information for 1467531053
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. BRITTANY KIM MATTHEW-WILTON LMHC
Sex: Female
NPI: 1467531053
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467531053 | ||||||||
| Enumeration Date | 2006-11-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3532 BETZ LANDING RD JACKSONVILLE, FL 32226-2330 United States Phone: 904-735-3440 | Fax: | ||||||||
| Primary Practice Address | 3027 SAN DIEGO RD JACKSONVILLE, FL 32207-3691 United States Phone: 904-493-7715 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|