Provider Demographics
NPI:1144850843
Name:WRIGHT, BRITTANY MARIE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 HUNDRED ACRE POND RD
Mailing Address - Street 2:
Mailing Address - City:HARDYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42746-8225
Mailing Address - Country:US
Mailing Address - Phone:270-528-6362
Mailing Address - Fax:
Practice Address - Street 1:4045 HUNDRED ACRE POND RD
Practice Address - Street 2:
Practice Address - City:HARDYVILLE
Practice Address - State:KY
Practice Address - Zip Code:42746-8225
Practice Address - Country:US
Practice Address - Phone:270-528-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173666235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist