Moore, Brittanni Koryn
Moore, Brittanni Koryn is an individual health care provider with primary practice located at 3095 Main St , Stratford CT 06614-4847. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore, Brittanni Koryn can be contacted via phone (475) 208-1359.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2716 | Connecticut |
Profile Details
| NPI number | 1982956181 |
|---|---|
| LBN Legal business name | Moore, Brittanni Koryn |
| Credentials | LPC,MA,BA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2012 |
| Last updated | Aug 29th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982956181 | NPPES |
| Connecticut | Other | PENDING | AETNA BEHAVIORAL HEALTH |
| Connecticut | Other | PENDING | AETNA BEHAVIORAL HEALTH |
| Connecticut | Other | PENDING | AETNA BEHAVIORAL HEALTH |
| Connecticut | MEDICAID | PENDING | AETNA BEHAVIORAL HEALTH |
| Connecticut | Other | PENDING | AETNA BEHAVIORAL HEALTH |
| Connecticut | Other | PENDING | AETNA BEHAVIORAL HEALTH |
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