Healthcare Provider Details

I. General information

NPI: 1235378845
Provider Name (Legal Business Name): BRITTANY MORGAN HARDIN M.S., CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6924 ARKANSAS 247
POTTSVILLE AR
72858-0000
US

IV. Provider business mailing address

PO DRAWER 2109
RUSSELLVILLE AR
72811
US

V. Phone/Fax

Practice location:
  • Phone: 479-967-2322
  • Fax:
Mailing address:
  • Phone: 479-967-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberP8134
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: