Provider Demographics
NPI:1275848301
Name:ROYALS, BRITTANY CROSBY (MSP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:CROSBY
Last Name:ROYALS
Suffix:
Gender:F
Credentials:MSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:GRANITEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29829-4039
Mailing Address - Country:US
Mailing Address - Phone:803-663-0094
Mailing Address - Fax:
Practice Address - Street 1:134 MIDLAND DR
Practice Address - Street 2:
Practice Address - City:GRANITEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29829-4039
Practice Address - Country:US
Practice Address - Phone:803-663-0094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3201235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist