Doctor Name: | DONNA MARIE BROWN |
NPI Number: | 1962806364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP003005 |
Business Practice Address: | 125 White Dogwood Ln Pooler, GA - 313225006 |
Business Phone Number: | 9124507367 |
Business Fax Number: | 9129883149 |
Mailing Address: | 125 White Dogwood Ln, POOLER |
State: | GA |
Postal Code: | 313225006 |
Phone Number: | 9124507367 |
Fax Number: | 9129883149 |
NPI Enumeration Date: | 10/14/2014 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |