Provider Demographics
NPI:1114416682
Name:SHELTON, BRITTNEY LAUREN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:BRITTNEY
Middle Name:LAUREN
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:LAUREN
Other - Last Name:BERES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:3625 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-0351
Mailing Address - Country:US
Mailing Address - Phone:479-246-0101
Mailing Address - Fax:479-246-0606
Practice Address - Street 1:3625 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-0351
Practice Address - Country:US
Practice Address - Phone:479-246-0101
Practice Address - Fax:479-246-0606
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX116407235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty