Provider Demographics
NPI:1922510239
Name:PALAZZO, BRITNEY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:PALAZZO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:
Other - Last Name:MINUTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:3012 FREEMAN FARM WAY
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-8730
Mailing Address - Country:US
Mailing Address - Phone:919-971-0577
Mailing Address - Fax:
Practice Address - Street 1:3012 FREEMAN FARM WAY
Practice Address - Street 2:
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571-8730
Practice Address - Country:US
Practice Address - Phone:919-971-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC13466235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program