Provider Demographics
NPI:1366165656
Name:FARRELL, BRITTANI (MS CF-SLP, MM)
Entity type:Individual
Prefix:
First Name:BRITTANI
Middle Name:
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MS CF-SLP, MM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W 175TH ST APT 15
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-8150
Mailing Address - Country:US
Mailing Address - Phone:303-888-2581
Mailing Address - Fax:
Practice Address - Street 1:5 E 98TH ST # 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:303-888-2581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP117949235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist