Individual
ELIZABETH FAYE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 OGLETHORPE ST, SPRINGDALE, AR 72764-7970
(573) 382-2920
Mailing address
3469 OGLETHORPE ST, SPRINGDALE, AR 72764-7970
(573) 382-2920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190833795
MEDICAID PROVIDER PIN NUMBER
AR
Enumeration date
03/29/2013
Last updated
03/29/2013
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