Doctor Name: | MICHELLE BROWN |
NPI Number: | 1871902064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | 2202006393 |
Business Practice Address: | 85 Sangers Ln Staunton, VA - 244016712 |
Business Phone Number: | 5408873200 |
Business Fax Number: | |
Mailing Address: | 27 Fayette St, Apt A STAUNTON |
State: | VA |
Postal Code: | 244014119 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/12/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |