Provider Demographics
NPI:1952652687
Name:BROWN, BRITTANY SIMMONS (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SIMMONS
Last Name:BROWN
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4868
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-1068
Mailing Address - Country:US
Mailing Address - Phone:910-370-0118
Mailing Address - Fax:910-218-0034
Practice Address - Street 1:4310 LUDGATE ST STE A
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2472
Practice Address - Country:US
Practice Address - Phone:910-370-0118
Practice Address - Fax:910-608-0269
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9726231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter