Basic Information
| Provider Information | |||||||||
| NPI: | 1073942439 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCCARTNEY | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | FRANCES | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S. CCC-SLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | IRELAND | ||||||||
| OtherFirstName: | BRITTANY | ||||||||
| OtherMiddleName: | FRANCES | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6000 HAMPTON CTR | ||||||||
| Address2: | SUITE B | ||||||||
| City: | MORGANTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265050651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045991500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 150 JOHN ST | ||||||||
| Address2: | SUITE C | ||||||||
| City: | WESTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 264522184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045171560 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2013 | ||||||||
| LastUpdateDate: | 12/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | P/SLP-0574 | WV | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.