Doctor Name: | MRS. SUSAN SIMS BROWN |
NPI Number: | 1669777165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | 101160 |
Business Practice Address: | 829 Legendary Ln Gun Barrel City, TX - 751564315 |
Business Phone Number: | 9033881971 |
Business Fax Number: | 9038879063 |
Mailing Address: | 829 Legendary Ln, GUN BARREL CITY |
State: | TX |
Postal Code: | 751564315 |
Phone Number: | 9033881971 |
Fax Number: | 9038879063 |
NPI Enumeration Date: | 01/14/2011 |
NPI Last Update Date: | 01/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |