Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 002007 | NY |
N | 103TC1900X | Counseling Psychologist | 002007 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 002007 | NY |
N | 103TP2701X | Group Psychotherapist | 002007 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 002007 | NY |
NPI | 1346692506 |
---|---|
Provider Name | Ms. Brittany L Croley |
First Address | Brooklyn, NY 11201-6269 |
Second Address | Brooklyn, NY 11216-6254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2016 |
Last Update Date | 28/05/2021 |