Healthcare Provider Details

I. General information

NPI: 1750725982
Provider Name (Legal Business Name): BRITTANY LAURA HUNT M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CASEY ST STE A
CAMPBELLSVILLE KY
42718-6858
US

IV. Provider business mailing address

40 CANTER SQ
CAMPBELLSVILLE KY
42718-2749
US

V. Phone/Fax

Practice location:
  • Phone: 270-465-7768
  • Fax:
Mailing address:
  • Phone: 270-849-7203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12-104
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: