MEDICARE: DIONNE V BROWN MED CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3909	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699984963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIONNE V BROWN MED CCC-SLP

Provider Business Mailing Address
First Line	:	6500 W MAIN ST
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-2267
Country	:	US
Telephone Number	:	985-580-9922
Fax Number	:	985-580-9921

Provider Business Practice Location Address
First Line	:	6500 W MAIN ST
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-2267
Country	:	US
Telephone Number	:	985-580-9922
Fax Number	:	985-580-9921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/26/2024

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Directions to “ DIONNE V BROWN MED CCC-SLP” Practice Location

Language	Start Address	Practice Location

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