Basic Information
| Provider Information | |||||||||
| NPI: | 1538637160 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CLAYTON | ||||||||
| FirstName: | BRITNI | ||||||||
| MiddleName: | D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 419 S ELM ST | ||||||||
| Address2: | |||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762016085 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403874388 | ||||||||
| FaxNumber: | 9402971210 | ||||||||
| Practice Location | |||||||||
| Address1: | 2901 STERLING HART DR | ||||||||
| Address2: | |||||||||
| City: | COMMERCE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 754283911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038862510 | ||||||||
| FaxNumber: | 9038863538 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2018 | ||||||||
| LastUpdateDate: | 11/13/2018 | ||||||||
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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 | 106299 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.