Provider Demographics
NPI:1952901175
Name:FAUST, BRITTNEY LYNN (MCD,CF-SLP)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LYNN
Last Name:FAUST
Suffix:
Gender:F
Credentials:MCD,CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 MEETING STREET RD
Mailing Address - Street 2:
Mailing Address - City:EDGEFIELD
Mailing Address - State:SC
Mailing Address - Zip Code:29824-3909
Mailing Address - Country:US
Mailing Address - Phone:803-480-2464
Mailing Address - Fax:803-226-0197
Practice Address - Street 1:2250 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3812
Practice Address - Country:US
Practice Address - Phone:803-226-0146
Practice Address - Fax:803-226-0197
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7423235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist