MEDICARE: JEAN GOULDER BROWN AUD

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	231H00000X	Audiologist	AUD00151	RI
2	231H00000X	Audiologist	899	MA

General Provider Information

NPI Number	:	1932170511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN GOULDER BROWN AUD

Provider Business Mailing Address
First Line	:	84 MA-6A
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-2411
Country	:	US
Telephone Number	:	508-255-1285
Fax Number	:	508-342-7156

Provider Business Practice Location Address
First Line	:	84 MA-6A
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-2411
Country	:	US
Telephone Number	:	508-255-1285
Fax Number	:	508-342-7156

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	01/31/2024

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Directions to “ JEAN GOULDER BROWN AUD” Practice Location

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