Provider Demographics
NPI:1255078093
Name:SPEIGHTS, BRITTANY GAYLE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:GAYLE
Last Name:SPEIGHTS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 WASHINGTON AVE APT 327
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-1452
Mailing Address - Country:US
Mailing Address - Phone:512-903-2126
Mailing Address - Fax:
Practice Address - Street 1:215 WASHINGTON AVE APT 327
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1452
Practice Address - Country:US
Practice Address - Phone:512-903-2126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist