Provider Demographics
NPI:1144069014
Name:BISHOP, BRITTANY STOKES (MED CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:STOKES
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:JEAN
Other - Last Name:STOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6900 BRANDON MILL RD
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2033
Mailing Address - Country:US
Mailing Address - Phone:404-408-3246
Mailing Address - Fax:
Practice Address - Street 1:2655 DALLAS HWY SW STE 320
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-7518
Practice Address - Country:US
Practice Address - Phone:770-428-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP013026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty