Provider Demographics
NPI:1669233201
Name:MCINTOSH, BRITTNEY (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:
Last Name:MCINTOSH
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 1:16 PINE HILL LN
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1210
Mailing Address - Country:US
Mailing Address - Phone:949-246-2610
Mailing Address - Fax:
Practice Address - Street 1:16 PINE HILL LN
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-1210
Practice Address - Country:US
Practice Address - Phone:949-246-2610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21993235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist