Basic Information
| Provider Information | |||||||||
| NPI: | 1063714541 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.A.,CCC/SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6706 SOUTHRIDGE DR | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752143159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2148218470 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4600 FULLER DR | ||||||||
| Address2: | STE 150 | ||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750386551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4694209500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2010 | ||||||||
| LastUpdateDate: | 12/03/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 15139 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.