Provider Demographics
NPI:1679728240
Name:BISHOP, BRITTANIA YORK (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANIA
Middle Name:YORK
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:BRITTANIA
Other - Middle Name:ANN
Other - Last Name:YORK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:400 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1621
Mailing Address - Country:US
Mailing Address - Phone:914-924-2153
Mailing Address - Fax:
Practice Address - Street 1:400 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1621
Practice Address - Country:US
Practice Address - Phone:914-924-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015829235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist