Basic Information
| Provider Information | |||||||||
| NPI: | 1346720588 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORVATH | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | CHRISTINE | ||||||||
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| Credential: | MS/CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12549 BELLA VITA DR | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761264966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179879355 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4201 STONEGATE BLVD | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761099503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179245440 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2018 | ||||||||
| LastUpdateDate: | 08/16/2018 | ||||||||
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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 | 106375 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.