Provider Demographics
NPI:1356111744
Name:MARSHALL, BRITTNEY F (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:F
Last Name:MARSHALL
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 1:3146 HIGHWAY 29 N
Mailing Address - Street 2:
Mailing Address - City:SOSO
Mailing Address - State:MS
Mailing Address - Zip Code:39480-5173
Mailing Address - Country:US
Mailing Address - Phone:601-795-2043
Mailing Address - Fax:
Practice Address - Street 1:9 BALMORAL DR
Practice Address - Street 2:
Practice Address - City:POPLARVILLE
Practice Address - State:MS
Practice Address - Zip Code:39470-3344
Practice Address - Country:US
Practice Address - Phone:601-795-2043
Practice Address - Fax:601-795-2025
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS4713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist