Individual
MR. DIETRICH MARK BROWNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,CCC-SLP
Contact information
Practice address
1301 W EAU GALLIE BLVD, SUITE 105, MELBOURNE, FL 32935-5390
(321) 421-6992
(321) 421-6993
Mailing address
1301 W EAU GALLIE BLVD, SUITE 105, MELBOURNE, FL 32935-5390
(321) 421-6992
(321) 421-6993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12818
FL
Other
Enumeration date
03/27/2014
Last updated
03/28/2014
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