Individual
BRITTANY BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2166 HARBORTOWN CIR, CHAMPAIGN, IL 61821-6481
(217) 994-1615
Mailing address
2166 HARBORTOWN CIR, CHAMPAIGN, IL 61821-6481
(217) 994-1615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013826
IL
Other
Enumeration date
04/15/2019
Last updated
04/27/2024
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