Individual provider · NPI-1

Jennifer Brown, MCD-CCC-SLP

Speech-Language Pathologist, · Buford, GA

NPI number1275981995
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1275981995
Entity type
Individual (NPI-1)
Name
Jennifer Brown
Credential
MCD-CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2016
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP009253GAYes

Practice location

4530 Nelson Brogdon Blvd Ste C
Buford, GA 30518-5407

Phone 678-820-9606

Mailing address

1250 Newbridge Cir
Buford, GA 30519-5385

Fax 844-820-9616

Other practice locations

1400 Buford Hwy
Suite G-5
Buford, GA 30518-8721

Phone 678-820-9606 · Fax 844-820-9616

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