Amanda Ellen Brown
Individual provider Active NPI Speech-Language Pathologist · Chesapeake, VA
NPI 1306348388 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1306348388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202004861 (VA)
- Practice address
- 2500 Rodgers St
Chesapeake, VA 23324-1960 - Phone
- (757) 494-7590
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2202004861 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004861 | VA | Yes |
Addresses
Primary practice location
2500 Rodgers St
Chesapeake, VA 23324-1960
Mailing address
1422 Philmont Ave
Chesapeake, VA 23325-3718
Phone (757) 494-7590
Other providers in Chesapeake, VA
- Sheila Brooks
- Brown Family Services LLC
- Abe J Brown III
- Abigail Brown
- Allison Brown
- Ashley Lane Brown
- Brittany Nicole Brown
- Charles Calvin Brown
- Christa Brown
- Christina Lynn Lowry Brown
All providers in Chesapeake, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. 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.