Provider Demographics
NPI:1801561865
Name:ATKINSON, BRITTANY RIDEOUT (MED CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:RIDEOUT
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4554 FORESTDALE DR UNIT E26
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-1394
Mailing Address - Country:US
Mailing Address - Phone:435-400-4064
Mailing Address - Fax:
Practice Address - Street 1:4554 FORESTDALE DR UNIT E26
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-1394
Practice Address - Country:US
Practice Address - Phone:435-400-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11238752-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist