Doctor Name: | MRS. PARDIS A BROWN |
NPI Number: | 1669585600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 5845751-4102 |
Business Practice Address: | 5770 Fashion Blvd Murray, UT - 841076548 |
Business Phone Number: | 8013144185 |
Business Fax Number: | 8013142588 |
Mailing Address: | 1792 Auburn Ridge Ln, DRAPER |
State: | UT |
Postal Code: | 840205514 |
Phone Number: | 8015028701 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5845751-4102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |