Provider Demographics
NPI:1508504036
Name:O'BRIEN, BRITTANY JACLYN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JACLYN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:JACLYN
Other - Last Name:HEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:7 E SKIPPACK PIKE STE 304
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5310
Mailing Address - Country:US
Mailing Address - Phone:215-643-5585
Mailing Address - Fax:
Practice Address - Street 1:7 E SKIPPACK PIKE STE 304
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5310
Practice Address - Country:US
Practice Address - Phone:215-643-5585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist