Provider Demographics
NPI:1205959145
Name:PARTRIDGE, BRITTANY DIANE (SLP CCC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DIANE
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:SLP CCC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:DIANE
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP CCC
Mailing Address - Street 1:11620 MOONLIGHT MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3870
Mailing Address - Country:US
Mailing Address - Phone:210-792-8592
Mailing Address - Fax:
Practice Address - Street 1:11620 MOONLIGHT MEADOW DR
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3870
Practice Address - Country:US
Practice Address - Phone:210-792-8592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 15687235Z00000X
TX103226235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist