Individual
MRS. REBECCA SUSAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
413 W MONTGOMERY XRD STE 102, SAVANNAH, GA 31406-4321
(912) 354-4474
(912) 354-4443
Mailing address
88 CRESTWOOD DR, SAVANNAH, GA 31405-8130
(724) 986-8899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134946A
—
GA
01
—
12044736
ASHA
—
01
—
2202003791
VA LICENSE
VA
01
—
3611
SLP LICENSE
KY
05
—
3810003127
—
WV
01
—
SLP-0723
WV LICENSE
WV
01
—
SLP007547
GA BOARD FOR SPEECH-LANGUAGE PATHOLOGY
GA
Enumeration date
02/15/2007
Last updated
11/23/2018
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