Provider Demographics
NPI:1376688713
Name:BENEFIELD, BRYNNA LAYNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BRYNNA
Middle Name:LAYNE
Last Name:BENEFIELD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 14TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-6106
Mailing Address - Country:US
Mailing Address - Phone:334-329-0574
Mailing Address - Fax:205-638-2077
Practice Address - Street 1:1514 14TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-6106
Practice Address - Country:US
Practice Address - Phone:334-329-0574
Practice Address - Fax:205-638-2077
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3361235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist