Provider Demographics
NPI:1114377785
Name:MCBRIDE, BRITTNEY LOUISE (BA-SLPA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LOUISE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:BA-SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 S WILLIAM AVE
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-7549
Mailing Address - Country:US
Mailing Address - Phone:352-476-1340
Mailing Address - Fax:
Practice Address - Street 1:4030 S WILLIAM AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-7549
Practice Address - Country:US
Practice Address - Phone:352-476-1340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI22262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant