Physician Compare National (NPI:1336598044)

HEALTHCARE PROVIDER: KATHLEEN A BROWN MA CCC-SLP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1336598044
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749565141
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170328000195
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROWN
	Individual professional last name
Provider First Name	KATHLEEN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED SPEECH LANGUAGE PATHOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	371 DODGE RD
	Group Practice or individual's line 1 address
City	GETZVILLE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	140681208
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7168178855
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y