Basic Information
| Provider Information | |||||||||
| NPI: | 1881189314 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHMIDT | ||||||||
| FirstName: | BRITTANI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 ROSS DR APT K29 | ||||||||
| Address2: | |||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805266646 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7155711171 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1330 PRAIRIE AVE | ||||||||
| Address2: | |||||||||
| City: | CHEYENNE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820094842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077788997 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2018 | ||||||||
| LastUpdateDate: | 06/27/2018 | ||||||||
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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 | PSLP.0000410 | CO | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.