Provider Demographics
NPI:1376967687
Name:PATNAUDE, BRITTANY (MS, CCC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PATNAUDE
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10616 S JACOB SMART BLVD
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-8477
Mailing Address - Country:US
Mailing Address - Phone:843-645-8255
Mailing Address - Fax:843-645-8256
Practice Address - Street 1:10616 S JACOB SMART BLVD
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-8477
Practice Address - Country:US
Practice Address - Phone:843-645-8255
Practice Address - Fax:843-645-8256
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4880235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist