Provider Demographics
NPI:1952533234
Name:MURDOCK, BRITTANY DAWN (MS, CFY/SLP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DAWN
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:MS, CFY/SLP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:DAWN
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:640 JAKES RUN ROAD
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071
Mailing Address - Country:US
Mailing Address - Phone:304-542-4359
Mailing Address - Fax:
Practice Address - Street 1:640 JAKES RUN ROAD
Practice Address - Street 2:
Practice Address - City:ELKVIEW
Practice Address - State:WV
Practice Address - Zip Code:25071
Practice Address - Country:US
Practice Address - Phone:304-542-4359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVP/SLP-0476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist