Individual
BROOKE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 5TH ST N, ST PETERSBURG, FL 33701-2812
(727) 642-8802
Mailing address
200 2ND AVE S # 449, ST PETERSBURG, FL 33701-4313
(727) 642-8802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8753
FL
Other
Enumeration date
10/23/2015
Last updated
04/18/2019
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