Colleen Therese Brown
Individual provider Active NPI Speech-Language Pathologist · Lyons, IL
NPI 1861035693 · NPPES record last updated Oct 24, 2019
Key facts
- NPI
- 1861035693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 4632 Clyde Ave
Lyons, IL 60534-1758 - Phone
- (708) 783-4334
- NPI assigned
- Oct 24, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
4632 Clyde Ave
Lyons, IL 60534-1758
Mailing address
4006 Raymond Ave
Brookfield, IL 60513-1846
Other providers in Lyons, IL
- Heidi Baird
- Eva Marie Bednara
- Adam Bezanis
- Veronika Bilonic
- Blase P Brown
- Joseph Carr
- Christian Counseling NFP
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- Circle of Friends Home Health Care,LLC
- Kimberly Clifford
All providers in Lyons, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. 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.