Doctor Name: | MRS. KENYA MICHELLE BROWN |
NPI Number: | 1740381151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSR, CCC-SLP |
License Number: | 3291 |
Business Practice Address: | 301 Pinehaven Street Ext Laurens, SC - 293602671 |
Business Phone Number: | 8649846584 |
Business Fax Number: | 8649846464 |
Mailing Address: | 104 Natchez Ct, GRAY COURT |
State: | SC |
Postal Code: | 296454197 |
Phone Number: | 8648760011 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |