Provider Demographics
NPI:1316547268
Name:CAREY, BRYNN ARICA (MS ED, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BRYNN
Middle Name:ARICA
Last Name:CAREY
Suffix:
Gender:F
Credentials:MS ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 CHATMOSS DRIVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5939
Mailing Address - Country:US
Mailing Address - Phone:757-633-9062
Mailing Address - Fax:
Practice Address - Street 1:LASKIN ROAD ANNEX
Practice Address - Street 2:1413 LASKIN ROAD
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-633-9062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist