MEDICARE: BRITTANY BAIRD SLPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SLPA12701	AZ

General Provider Information

NPI Number	:	1427639269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY BAIRD SLPA

Provider Business Mailing Address
First Line	:	1901 N EAST ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-4129
Country	:	US
Telephone Number	:	928-600-9071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 N EAST ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-4129
Country	:	US
Telephone Number	:	928-600-9071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	04/14/2021

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Directions to “ BRITTANY BAIRD SLPA” Practice Location

Language	Start Address	Practice Location

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