Provider Demographics
NPI:1396939401
Name:BRITTON, AMY L (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:BRITTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:2805 GRUBB RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2318
Mailing Address - Country:US
Mailing Address - Phone:443-975-1377
Mailing Address - Fax:
Practice Address - Street 1:2805 GRUBB RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-2318
Practice Address - Country:US
Practice Address - Phone:443-975-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05552235Z00000X
DEO1-0011841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist