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NPI Code Detail

MEDICARE: MRS. BRITTNEY SIMONE PRINCE M.S., CCC-SLP

MEDICARE: MRS. BRITTNEY SIMONE PRINCE 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
1222Q00000XDevelopmental Therapist22008504AIN
2235Z00000XSpeech-Language Pathologist08319CA
3235Z00000XSpeech-Language Pathologist146028779IL

General Provider Information

NPI Number : 1104292523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTNEY SIMONE PRINCE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 6300 VARIEL AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2569
Country : US
Telephone Number : 202-702-1882
Fax Number :
Provider Business Practice Location Address
First Line : 1051 S A ST
Second Line :
City : OXNARD
State : CA
Zip : 93030-7442
Country : US
Telephone Number : 805-385-1501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 01/08/2026

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