Basic Information
| Provider Information | |||||||||
| NPI: | 1588205777 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | ALEXIS | ||||||||
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| Credential: | M.ED CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 926 COMMERCE ST APT 301 | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245041657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4346073330 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 OAK ST | ||||||||
| Address2: | |||||||||
| City: | FARMVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 239011199 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4343928811 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2019 | ||||||||
| LastUpdateDate: | 09/30/2019 | ||||||||
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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 | 2202008597 | VA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.