Provider Demographics
NPI:1457881039
Name:DAVIS, BRITTANY E (SLP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:E
Last Name:DAVIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 S PINE ST STE 219
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-7205
Mailing Address - Country:US
Mailing Address - Phone:800-645-6799
Mailing Address - Fax:253-476-6551
Practice Address - Street 1:2366 EASTLAKE AVE E STE 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3391
Practice Address - Country:US
Practice Address - Phone:206-829-9328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32313235Z00000X
WALL61398112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
27-0202691OtherAUTISM STEPS