Provider Demographics
NPI:1477032951
Name:BELL, BRIANA KAITLIN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:KAITLIN
Last Name:BELL
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 1:18340 SULKY LN
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-5280
Mailing Address - Country:US
Mailing Address - Phone:760-662-6217
Mailing Address - Fax:
Practice Address - Street 1:227 W D ST
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-2022
Practice Address - Country:US
Practice Address - Phone:661-750-7848
Practice Address - Fax:661-246-3179
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
34135235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist