Provider Demographics
NPI:1164717310
Name:RICKERSON, BRITTANY COTOGNO (SLP-A)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:COTOGNO
Last Name:RICKERSON
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11261 COPPER HILL DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-2694
Mailing Address - Country:US
Mailing Address - Phone:504-952-4547
Mailing Address - Fax:
Practice Address - Street 1:56309 CURRIER LN
Practice Address - Street 2:
Practice Address - City:LORANGER
Practice Address - State:LA
Practice Address - Zip Code:70446-2749
Practice Address - Country:US
Practice Address - Phone:985-878-9207
Practice Address - Fax:985-878-9781
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6227235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist