Provider Demographics
NPI:1447550421
Name:BROWN, MONICA (MA CCC/SLP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 S CLOSNER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5617
Mailing Address - Country:US
Mailing Address - Phone:956-287-2006
Mailing Address - Fax:956-287-2016
Practice Address - Street 1:920 S CLOSNER BLVD STE A
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5617
Practice Address - Country:US
Practice Address - Phone:956-287-2006
Practice Address - Fax:956-287-2016
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11827110235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist