Individual
JERRY LEE BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
703 E MOUNTAIN ST, KERNERSVILLE, NC 27284
(743) 220-1484
(743) 220-1782
Mailing address
703 E MOUNTAIN ST, KERNERSVILLE, NC 27284
(743) 220-1484
(743) 220-1782
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810001965
VA
103TC0700X
Clinical Psychologist
Primary
3897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810001965
VA LICENSE
VA
Enumeration date
08/15/2006
Last updated
04/23/2026
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