Doctor Name: | LESLIE ANN BROWN |
NPI Number: | 1699155135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 3336 |
Business Practice Address: | 600 1st St Talihina, OK - 745712003 |
Business Phone Number: | 9185672259 |
Business Fax Number: | 9185675344 |
Mailing Address: | Po Box 38, TALIHINA |
State: | OK |
Postal Code: | 745710038 |
Phone Number: | 9185672259 |
Fax Number: | 9185675344 |
NPI Enumeration Date: | 05/30/2015 |
NPI Last Update Date: | 05/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |