Individual
BRITTANY THAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WATER ST, APT 2502, NEW YORK, NY 10038-3558
(832) 515-9511
Mailing address
200 WATER ST, APT 2502, NEW YORK, NY 10038-3558
(832) 515-9511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024611
NY
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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