=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083959118
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAURA CURRY BROWNELL MA, CCC/SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2012
-----------------------------------------------------
Last Update Date | 11/29/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6810 BUCKEYE VALLEY RD NE
-----------------------------------------------------
City | SOMERSET
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43783-9744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-592-9532
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6810 BUCKEYE VALLEY RD NE
-----------------------------------------------------
City | SOMERSET
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43783-9744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-592-9532
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | SP5398
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------