Healthcare Provider Details

I. General information

NPI: 1104292523
Provider Name (Legal Business Name): BRITTNEY SIMONE PRINCE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 S A ST
OXNARD CA
93030-7442
US

IV. Provider business mailing address

6300 VARIEL AVE
WOODLAND HILLS CA
91367-2569
US

V. Phone/Fax

Practice location:
  • Phone: 805-385-1501
  • Fax:
Mailing address:
  • Phone: 202-702-1882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number22008504A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number08319
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146028779
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: