Provider Demographics
NPI:1427600196
Name:BRITT, JOSIE GANDY DREW (MSP CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:GANDY DREW
Last Name:BRITT
Suffix:
Gender:F
Credentials:MSP CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 BRANHAM RD
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-8958
Mailing Address - Country:US
Mailing Address - Phone:803-206-3805
Mailing Address - Fax:
Practice Address - Street 1:LANGFORD ELEMENTARY
Practice Address - Street 2:480 LANGFORD ROAD
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016
Practice Address - Country:US
Practice Address - Phone:803-691-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2333235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist