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NPI Code Detail

MEDICARE: JESSICA BROWN CCC-SLP

MEDICARE: JESSICA BROWN 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 PathologistSLP9515MA

General Provider Information

NPI Number : 1609261205
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BROWN CCC-SLP
Provider Business Mailing Address
First Line : 40 TIOGA WAY STE 300
Second Line :
City : MARBLEHEAD
State : MA
Zip : 01945-5500
Country : US
Telephone Number : 781-715-7891
Fax Number : 857-328-0127
Provider Business Practice Location Address
First Line : 40 TIOGA WAY STE 300
Second Line :
City : MARBLEHEAD
State : MA
Zip : 01945-5500
Country : US
Telephone Number : 781-715-7891
Fax Number : 857-328-0127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2015
Last Update Date : 04/17/2026

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Directions to “ JESSICA BROWN CCC-SLP” Practice Location

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