Provider Demographics
NPI:1457013807
Name:ESTRELLA, BRITTNEY LYNN (MS)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LYNN
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10866 WESTMINSTER AVE SPC 81
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4922
Mailing Address - Country:US
Mailing Address - Phone:714-726-1196
Mailing Address - Fax:
Practice Address - Street 1:10866 WESTMINSTER AVE SPC 81
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4922
Practice Address - Country:US
Practice Address - Phone:714-726-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15107235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist