Provider Demographics
NPI:1659899052
Name:CRUME, BRITTANY CASIOPEA (SLP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CASIOPEA
Last Name:CRUME
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:CASIOPEA
Other - Last Name:SLAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-9387
Mailing Address - Country:US
Mailing Address - Phone:360-855-3500
Mailing Address - Fax:
Practice Address - Street 1:801 TRAIL RD
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-9387
Practice Address - Country:US
Practice Address - Phone:360-855-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist