Provider Demographics
NPI:1033642772
Name:BRITT, SANDRA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LA COSTA CT
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-4419
Mailing Address - Country:US
Mailing Address - Phone:949-510-1815
Mailing Address - Fax:818-241-6853
Practice Address - Street 1:44 LA COSTA CT
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-4419
Practice Address - Country:US
Practice Address - Phone:949-510-1815
Practice Address - Fax:818-241-6853
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP30680235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist