Basic Information
| Provider Information | |||||||||
| NPI: | 1164002499 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | JEAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1120 E TWIGGS ST UNIT 566 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336023130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392649768 | ||||||||
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| Practice Location | |||||||||
| Address1: | 602 VONDERBURG DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | BRANDON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335115900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8136531149 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2021 | ||||||||
| LastUpdateDate: | 08/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | FL | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | SA20547 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | SZ10012 | FL | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.