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NPI Code Detail

MEDICARE: STEPHANIE BRITTAIN M.S., CCC-SLP

MEDICARE: STEPHANIE BRITTAIN M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist3360NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518012921
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BRITTAIN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 5023 WRIGHTSVILLE AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-7046
Country : US
Telephone Number : 910-397-2892
Fax Number : 910-397-7970
Provider Business Practice Location Address
First Line : 5023 WRIGHTSVILLE AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-7046
Country : US
Telephone Number : 910-397-2892
Fax Number : 910-397-7970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 04/22/2008

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