Provider Demographics
NPI:1376799767
Name:BRITTON, GINA FC (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:FC
Last Name:BRITTON
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 1:14 GARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-1107
Mailing Address - Country:US
Mailing Address - Phone:518-357-9984
Mailing Address - Fax:518-357-9984
Practice Address - Street 1:14 GARRISON AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-1107
Practice Address - Country:US
Practice Address - Phone:518-357-9984
Practice Address - Fax:518-357-9984
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0092001235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist