Provider Demographics
NPI:1750640553
Name:HENSHAW, BRITTANY (MS CCC-SLP, CBIS)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:HENSHAW
Suffix:
Gender:F
Credentials:MS CCC-SLP, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8136 OLD KEENE MILL RD
Mailing Address - Street 2:SUITE B-102
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1850
Mailing Address - Country:US
Mailing Address - Phone:703-451-8881
Mailing Address - Fax:
Practice Address - Street 1:8136 OLD KEENE MILL RD
Practice Address - Street 2:SUITE B-102
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1850
Practice Address - Country:US
Practice Address - Phone:703-451-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006386235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist