Provider Demographics
NPI:1194917922
Name:BRIGGS, FIONA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6428 BLACKBERRY LN
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-6332
Mailing Address - Country:US
Mailing Address - Phone:563-214-6829
Mailing Address - Fax:
Practice Address - Street 1:6428 BLACKBERRY LN
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-6332
Practice Address - Country:US
Practice Address - Phone:563-214-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.012921235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL146.012921OtherDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
12095811OtherASHA