Individual
THERESA A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2407 LAPORTE AVE, FORT COLLINS, CO 80521-2297
(970) 488-8444
Mailing address
2407 LAPORTE AVE, FORT COLLINS, CO 80521-2297
(970) 488-8444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
375541
CO
235Z00000X
Speech-Language Pathologist
SLP006931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP006931
LICENSE NUMBER
GA
Enumeration date
03/15/2011
Last updated
12/12/2023
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