Provider Demographics
NPI:1689373425
Name:MAIR, BRITTNEY DEJA (SLPA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:DEJA
Last Name:MAIR
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 ENCLAVE PKWY APT 13110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3762
Mailing Address - Country:US
Mailing Address - Phone:210-901-4426
Mailing Address - Fax:
Practice Address - Street 1:2743 IMPERIA DR STE 103
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8988
Practice Address - Country:US
Practice Address - Phone:281-616-3839
Practice Address - Fax:346-299-5196
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX427132355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTDLROther42714