Provider Demographics
NPI:1801078837
Name:BRITT-THOMPSON, MICHELLE MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:BRITT-THOMPSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
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Mailing Address - Street 1:3A BLACK DUCK CIR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-2300
Mailing Address - Country:US
Mailing Address - Phone:508-633-4913
Mailing Address - Fax:978-518-3188
Practice Address - Street 1:3A BLACK DUCK CIR
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-2300
Practice Address - Country:US
Practice Address - Phone:978-463-8201
Practice Address - Fax:978-477-0467
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA448871OtherTUFTS
MASG0024OtherBLUE CROSS BLUE SHIELD
MAAA31786OtherHARVARD PILGRIM