Basic Information
| Provider Information | |||||||||
| NPI: | 1093054769 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRITT | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | REEDER | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.ED., CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2406 LIGHTHOUSE MANOR DR | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305017401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705364352 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2406 LIGHTHOUSE MANOR DR | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305017401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705364352 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2013 | ||||||||
| LastUpdateDate: | 01/31/2013 | ||||||||
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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 | 231H00000X | 0003443 | GA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.