Doctor Name: | BRITTANY SPEAKE |
NPI Number: | 1639558141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 412 N Washington Ave El Dorado, AR - 717305616 |
Business Phone Number: | 8708634611 |
Business Fax Number: | 8708634962 |
Mailing Address: | 602 N Walton Blvd, BENTONVILLE |
State: | AR |
Postal Code: | 727124576 |
Phone Number: | 4794641060 |
Fax Number: | 4792716307 |
NPI Enumeration Date: | 05/29/2015 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |