Provider Demographics
NPI:1861833063
Name:WALKER, BRITTANI SLONE (CF/SLP)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:SLONE
Last Name:WALKER
Suffix:
Gender:F
Credentials:CF/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-2162
Mailing Address - Country:US
Mailing Address - Phone:606-233-3147
Mailing Address - Fax:
Practice Address - Street 1:212 3RD ST
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-2162
Practice Address - Country:US
Practice Address - Phone:606-233-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13-056235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist