Provider Demographics
NPI:1457782153
Name:BREARLEY, BRITNEY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:
Last Name:BREARLEY
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 1:29 MORGAN CT
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-5648
Mailing Address - Country:US
Mailing Address - Phone:603-205-3730
Mailing Address - Fax:
Practice Address - Street 1:53 WINNACUNNET RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2110
Practice Address - Country:US
Practice Address - Phone:603-205-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1516235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist