MEDICARE: MRS. MOLLY MARIE BROWN M.S.

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

General Provider Information

NPI Number	:	1649136581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MOLLY MARIE BROWN M.S.

Provider Business Mailing Address
First Line	:	31 W ELM ST
Second Line	:
City	:	CONESTOGA
State	:	PA
Zip	:	17516-9724
Country	:	US
Telephone Number	:	717-549-1297
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 S LUDLOW ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-1813
Country	:	US
Telephone Number	:	937-542-3000
Fax Number	:

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

Provider Enumeration Date	:	01/03/2026
Last Update Date	:	01/03/2026

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