Provider Demographics
NPI:1447822523
Name:BLANCHARD, BRITTANY GUIDRY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:GUIDRY
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:DANIELLE
Other - Last Name:GUIDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-4324
Mailing Address - Country:US
Mailing Address - Phone:337-349-6755
Mailing Address - Fax:
Practice Address - Street 1:1038 SCHOOL ROAD EXT
Practice Address - Street 2:
Practice Address - City:CECILIA
Practice Address - State:LA
Practice Address - Zip Code:70521
Practice Address - Country:US
Practice Address - Phone:337-909-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7414235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist