Provider Demographics
NPI:1245864107
Name:KIRKPATRICK, BRITTNEY NICHOLE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:NICHOLE
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 MATTHEW THORNTON DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7652
Mailing Address - Country:US
Mailing Address - Phone:614-702-7045
Mailing Address - Fax:
Practice Address - Street 1:1008 MATTHEW THORNTON DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7652
Practice Address - Country:US
Practice Address - Phone:614-702-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13587235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist