MEDICARE: MRS. BRITTNEY LITTLE CALHOUN 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	235Z00000X	Speech-Language Pathologist	2396	AL

General Provider Information

NPI Number	:	1578755518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTNEY LITTLE CALHOUN SLP

Provider Business Mailing Address
First Line	:	1238 GLEN GRATTAN DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-1402
Country	:	US
Telephone Number	:	334-224-7941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1238 GLEN GRATTAN DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-1402
Country	:	US
Telephone Number	:	334-224-7941
Fax Number	:

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

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	04/25/2022

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