Provider Demographics
NPI:1528463551
Name:MAXTON, BRITNEY
Entity type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:
Last Name:MAXTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BRITNEY
Other - Middle Name:
Other - Last Name:CHEATHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3810 S COOPER ST
Mailing Address - Street 2:SUITE 144
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4149
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3810 S COOPER ST
Practice Address - Street 2:SUITE 144
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4149
Practice Address - Country:US
Practice Address - Phone:817-466-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11304237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist