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NPI Code Detail

MEDICARE: MRS. LINDSEY MAURINE BROWN MS CCC-SLP

MEDICARE:  MRS. LINDSEY MAURINE BROWN  MS 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
1235Z00000XSpeech-Language Pathologist018578-1NY

General Provider Information

NPI Number : 1508019118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY MAURINE BROWN MS CCC-SLP
Provider Business Mailing Address
First Line : 106 DRAYCOTT RD
Second Line :
City : FAYETTEVILLE
State : NY
Zip : 13066-1813
Country : US
Telephone Number : 315-637-3699
Fax Number :
Provider Business Practice Location Address
First Line : 15 SCHOOL ST
Second Line :
City : SHERBURNE
State : NY
Zip : 13460-9505
Country : US
Telephone Number : 607-674-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 09/03/2010

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Directions to “ MRS. LINDSEY MAURINE BROWN MS CCC-SLP” Practice Location

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