Cindy D Johnson Brown, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chipley, FL
NPI 1013125152 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1013125152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA 8630 (FL)
- Practice address
- 2102B Mud Hill Rd
Chipley, FL 32428-3874 - Phone
- (407) 625-5111
- Fax
- (850) 635-0299
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 8630 | FL | MD | Speech-Language Pathologist |
| SA8630 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SA8630 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA 8630 | FL | Yes |
Addresses
Primary practice location
2102B Mud Hill Rd
Chipley, FL 32428-3874
Mailing address
PO Box 295
Wausau, FL 32463-0295
Phone (407) 625-5111
Other providers in Chipley, FL
- Horizon Health Care Services, Inc.
- Horizon Health Care Systems, Inc.
- Jeffery Thomas Horton
- James B Craven MD PA RHC
- Janice Rebecca Jeter
- Soketa Nomic Johnson
- Alan S Justice
- Ramona Hester King
- Freddie A Kolmetz
- Gerald Guy Lachance
All providers in Chipley, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.