Provider Demographics
NPI:1467894436
Name:FISCHTZIUR, BRITTANY SPAHR
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SPAHR
Last Name:FISCHTZIUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5439 W ALOHA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:DIAMONDHEAD
Mailing Address - State:MS
Mailing Address - Zip Code:39525-3379
Mailing Address - Country:US
Mailing Address - Phone:228-255-8889
Mailing Address - Fax:228-255-0890
Practice Address - Street 1:5402 W ALOHA DR
Practice Address - Street 2:
Practice Address - City:DIAMONDHEAD
Practice Address - State:MS
Practice Address - Zip Code:39525-3329
Practice Address - Country:US
Practice Address - Phone:228-255-8889
Practice Address - Fax:228-255-0890
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1115A231H00000X
MSA4207231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist