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NPI Code Detail

MEDICARE: REBECCA ANN BROWN

MEDICARE: REBECCA ANN BROWN
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 Pathologist
2235Z00000XSpeech-Language Pathologist07-093KY

General Provider Information

NPI Number : 1851572838
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN BROWN
Provider Business Mailing Address
First Line : 4603 TIMBERWALK CT
Second Line :
City : LA GRANGE
State : KY
Zip : 40031-6746
Country : US
Telephone Number : 502-235-2428
Fax Number : 888-830-3233
Provider Business Practice Location Address
First Line : 4603 TIMBERWALK CT
Second Line :
City : LA GRANGE
State : KY
Zip : 40031-6746
Country : US
Telephone Number : 502-235-2428
Fax Number : 888-830-3233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 03/27/2020

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Directions to “ REBECCA ANN BROWN ” Practice Location

Language Start Address Practice Location
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