MEDICARE: LAURA CURRY BROWNELL MA, 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	SP5398	OH

General Provider Information

NPI Number	:	1083959118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA CURRY BROWNELL MA, CCC/SLP

Provider Business Mailing Address
First Line	:	6810 BUCKEYE VALLEY RD NE
Second Line	:
City	:	SOMERSET
State	:	OH
Zip	:	43783-9744
Country	:	US
Telephone Number	:	614-592-9532
Fax Number	:

Provider Business Practice Location Address
First Line	:	6810 BUCKEYE VALLEY RD NE
Second Line	:
City	:	SOMERSET
State	:	OH
Zip	:	43783-9744
Country	:	US
Telephone Number	:	614-592-9532
Fax Number	:

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

Provider Enumeration Date	:	11/29/2012
Last Update Date	:	11/29/2012

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