Provider Demographics
NPI:1316631989
Name:DILLINGHAM, BRITTANEE AUTUMN (MS SLP)
Entity type:Individual
Prefix:
First Name:BRITTANEE
Middle Name:AUTUMN
Last Name:DILLINGHAM
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8547
Mailing Address - Country:US
Mailing Address - Phone:828-734-7481
Mailing Address - Fax:828-393-0348
Practice Address - Street 1:205 AUTUMN RIDGE LN
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-8504
Practice Address - Country:US
Practice Address - Phone:828-734-6024
Practice Address - Fax:828-393-0348
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty