Individual
MR. BENJAMIN RICHARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
1408 N WEST SHORE BLVD, 300, TAMPA, FL 33607-4525
(407) 304-6901
Mailing address
1057 LUNDY CT, WINTER PARK, FL 32792-6115
(407) 304-6901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7069
MA
235Z00000X
Speech-Language Pathologist
Primary
SA 8330
FL
235Z00000X
Speech-Language Pathologist
SP 942
HI
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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