Provider Demographics
NPI:1972994531
Name:DINKINS, BRITTANY (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:DINKINS
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 1:3683 CUSABO LN
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAND
Mailing Address - State:SC
Mailing Address - Zip Code:29707-1674
Mailing Address - Country:US
Mailing Address - Phone:803-351-0184
Mailing Address - Fax:
Practice Address - Street 1:3683 CUSABO LN
Practice Address - Street 2:
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-1674
Practice Address - Country:US
Practice Address - Phone:803-351-0184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist