Healthcare Provider Details

I. General information

NPI: 1023942570
Provider Name (Legal Business Name): KELLIE L BROWN M.A. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W MIDLAND RD
AUBURN MI
48611-9411
US

IV. Provider business mailing address

904 S FRANKLIN ST
MOUNT PLEASANT MI
48858-3504
US

V. Phone/Fax

Practice location:
  • Phone: 989-324-8252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: