Individual
MISS BRITTANY PREVALLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3576 KEARSAGE DR, LAKE HAVASU CITY, AZ 86406-9115
(928) 453-1500
Mailing address
1715 LOS LAGOS DR, LAKE HAVASU CITY, AZ 86403-6648
(573) 768-1752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6954
AZ
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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