Provider Demographics
NPI:1700483633
Name:HORY, BRITT ELIZABETH VIDA
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:ELIZABETH VIDA
Last Name:HORY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 COUNTY ROAD 801
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9571
Mailing Address - Country:US
Mailing Address - Phone:419-945-2188
Mailing Address - Fax:
Practice Address - Street 1:635 COUNTY ROAD 801
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9571
Practice Address - Country:US
Practice Address - Phone:419-945-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13595235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist