MEDICARE: MRS. BRITNEY DESIR 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
1	222Q00000X	Developmental Therapist		FL
2	235Z00000X	Speech-Language Pathologist	SA 12278	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1184025017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITNEY DESIR M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	2720 APALACHEE PKWY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3636
Country	:	US
Telephone Number	:	850-491-5108
Fax Number	:	850-727-7931

Provider Business Practice Location Address
First Line	:	2720 APALACHEE PKWY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3636
Country	:	US
Telephone Number	:	850-491-5108
Fax Number	:	850-727-7931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	06/27/2024

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Directions to “ MRS. BRITNEY DESIR M.S. CCC-SLP” Practice Location

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