MEDICARE: TRACY ANN BROWN 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	2386	OK

General Provider Information

NPI Number	:	1659519213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY ANN BROWN SLP

Provider Business Mailing Address
First Line	:	17400 CHATHAM HILLS RD
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-8401
Country	:	US
Telephone Number	:	405-366-5655
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 N CLASSEN BLVD STE 106
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7123
Country	:	US
Telephone Number	:	405-840-1335
Fax Number	:

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

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	02/04/2009

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Directions to “ TRACY ANN BROWN SLP” Practice Location

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