Provider Demographics
NPI:1376951780
Name:PANETTA, BRITTANY ELIZABETH (AUD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:PANETTA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:215-662-2777
Mailing Address - Fax:717-823-6454
Practice Address - Street 1:235 BLOOMFIELD DR
Practice Address - Street 2:SUITE 111
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7791
Practice Address - Country:US
Practice Address - Phone:717-627-4327
Practice Address - Fax:717-823-6454
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006357231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist