Gabrielle Z Brown, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Griswold, CT

NPI 1306513684 · NPPES record last updated Aug 25, 2021

Key facts

NPI
1306513684
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
18.005954 (CT)
Practice address
557 Roode Rd
Griswold, CT 06351-1220
Phone
(860) 705-4668
NPI assigned
Aug 25, 2021
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

LicenseStateTypeSpecialty
18.005954CTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18.005954 CT Yes

Addresses

Primary practice location

557 Roode Rd
Griswold, CT 06351-1220

Mailing address

609 Roode Rd
Griswold, CT 06351-1247
Phone (860) 705-8772

Other providers in Griswold, CT

All providers in Griswold, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.