Heather Marie Brown, MA CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Davison, MI

NPI 1912146929 · NPPES record last updated Apr 24, 2018

Key facts

NPI
1912146929
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
12011904 (MI)
Practice address
124 S State Rd
Davison, MI 48423-1347
Phone
(810) 886-1028
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altruistic Speech and Language Services LLC (2 clinicians)

Practice addresses (Care Compare)

124 S State Rd
Davison, MI 48423-1347
Phone (810) 886-1028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161101000575 MI Practitioner - Qualified Speech Language Pathologist 7810275500 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12011904MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Chiropractic Health Center, PLLC Current
since Nov 1, 2016
Accepting new patients

Locations

9126 Lapeer Rd
Ste 4
Davison, MI 48423
Phone (810) 654-0550

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12011904 MI Yes
Speech-Language Pathologist 235Z00000X MI

Addresses

Primary practice location

124 S State Rd
Davison, MI 48423-1347

Mailing address

PO Box 605
Davison, MI 48423-0605
Phone (810) 886-1028

Other practice location 1

9126 Lapeer Rd Ste 4
Davison, MI 48423-3616
Phone (810) 886-1028

Other providers in Davison, MI

All providers in Davison, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.