Provider Demographics
NPI:1376860197
Name:WARREN, BRITTANY E (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:E
Last Name:WARREN
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 1:2108 W ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-3918
Mailing Address - Country:US
Mailing Address - Phone:254-771-5462
Mailing Address - Fax:254-771-5463
Practice Address - Street 1:2108 W ADAMS AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-3918
Practice Address - Country:US
Practice Address - Phone:254-771-5462
Practice Address - Fax:254-771-5463
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104499OtherTEXAS LICENSURE