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NPI Code Detail

MEDICARE: MRS. BRITTANI GASTON LEE

MEDICARE: MRS. BRITTANI GASTON LEE
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
1235Z00000XSpeech-Language Pathologist4682AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14682OTHERALALABAMA STATE BOARD OF SPEECH PATHLOGY

General Provider Information

NPI Number : 1205372125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANI GASTON LEE
Provider Business Mailing Address
First Line : 500 WASHINGTON DR
Second Line :
City : FAIRHOPE
State : AL
Zip : 36532-3118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4200 CHRIS DR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-4197
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2017
Last Update Date : 04/15/2025

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Directions to “ MRS. BRITTANI GASTON LEE ” Practice Location

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