Provider Demographics
NPI:1194127712
Name:HENSON, BRITTNEY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:
Last Name:HENSON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 TARRANT RD
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2947
Mailing Address - Country:US
Mailing Address - Phone:205-608-2999
Mailing Address - Fax:
Practice Address - Street 1:474 TARRANT RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2947
Practice Address - Country:US
Practice Address - Phone:205-608-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist