Individual
BRITTANIE A. TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14500 BUSTLETON AVE STE 1A, PHILADELPHIA, PA 19116-1188
(215) 613-6523
(215) 613-6527
Mailing address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-4554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10035
MD
235Z00000X
Speech-Language Pathologist
SL012659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035
MARYLAND DEPT. OF HEALTH- STATE BOARD EXAMINERS FOR AUD. SLP & MUSIC THERAPISTS
MD
Enumeration date
07/01/2016
Last updated
03/08/2022
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