Basic Information
| Provider Information | |||||||||
| NPI: | 1164818902 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | BRIANNA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 E PALM CANYON DR APT 90 | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922644881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603357654 | ||||||||
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| Practice Location | |||||||||
| Address1: | 41555 COOK ST STE 100 | ||||||||
| Address2: | |||||||||
| City: | PALM DESERT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922115184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7608370033 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2015 | ||||||||
| LastUpdateDate: | 04/24/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SLPI.SI.60498365 | WA | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | SP28490 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.