Provider Demographics
NPI:1356434252
Name:KELLY, BRITANY COBB (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BRITANY
Middle Name:COBB
Last Name:KELLY
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Gender:F
Credentials:MA CCC-SLP
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Mailing Address - Street 1:6040 EXECUTIVE PARK DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4690
Mailing Address - Country:US
Mailing Address - Phone:423-903-5133
Mailing Address - Fax:865-769-0801
Practice Address - Street 1:9040 EXECUTIVE PARK DR
Practice Address - Street 2:STE 102
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923
Practice Address - Country:US
Practice Address - Phone:865-693-5622
Practice Address - Fax:865-769-0801
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist