Provider Demographics
NPI:1548769417
Name:CHIN, BRITTANY CATHERINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:CATHERINE
Last Name:CHIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:CATHERINE
Other - Last Name:MALONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:370 MARCY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4814
Mailing Address - Country:US
Mailing Address - Phone:718-388-0607
Mailing Address - Fax:
Practice Address - Street 1:370 MARCY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4814
Practice Address - Country:US
Practice Address - Phone:718-388-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027430-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist