Doctor Name: | LAKEITHA BROWN |
NPI Number: | 1467879486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | S3704 |
Business Practice Address: | 5535 S Williamson Blvd Ste 774 Port Orange, FL - 321288311 |
Business Phone Number: | 8003307711 |
Business Fax Number: | |
Mailing Address: | 2433 Larguier Ln, PORT ALLEN |
State: | LA |
Postal Code: | 707673245 |
Phone Number: | 8003307711 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |