Chandler Brown
Individual provider Active NPI Speech-Language Pathologist · Perry, GA
NPI 1346799467 · NPPES record last updated Sep 30, 2016
Key facts
- NPI
- 1346799467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PCET002397 (GA)
- Practice address
- 225 Wes Park Dr
Perry, GA 31069-4829 - Phone
- (478) 987-1610
- Fax
- (973) 965-4580
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| PCET002397 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Word of Mouth Therapy | Speech-Language Pathologist | Past | Accepting new patients |
| The Speech Path LLC | Speech-Language Pathologist | Past | Accepting new patients |
| The Speech Path | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET002397 | GA | Yes |
Addresses
Primary practice location
225 Wes Park Dr
Perry, GA 31069-4829
Mailing address
225 Wes Park Dr
Perry, GA 31069-4829
Phone (478) 987-1610
Other providers in Perry, GA
- Temiko Graves Braswell
- Michelle Brickhouse
- Tiffany Scavo Bright
- Molly Brooks
- Stephen Allan Broughman II
- Danielle Brown
- Harley Brown
- Victoria Nicole Brown
- Stacy-Lee Meleisia Buchanan-Bromley
- Hayden Burch
All providers in Perry, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2016. 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.