Lindsey Maurine Brown, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Sherburne, NY

NPI 1508019118 · NPPES record last updated Sep 3, 2010

Key facts

NPI
1508019118
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
018578-1 (NY)
Practice address
15 School St
Sherburne, NY 13460-9505
Phone
(607) 674-7300
NPI assigned
Oct 28, 2008
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
018578-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 018578-1 NY Yes

Addresses

Primary practice location

15 School St
Sherburne, NY 13460-9505

Mailing address

106 Draycott Rd
Fayetteville, NY 13066-1813
Phone (315) 637-3699

Other providers in Sherburne, NY

All providers in Sherburne, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.