Provider Demographics
NPI:1003009309
Name:BREWER, DEBRA BURNETT (AUD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:BURNETT
Last Name:BREWER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LYNN
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2650 HOLCOMB BRIDGE RD STE 510
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5374
Mailing Address - Country:US
Mailing Address - Phone:404-255-4080
Mailing Address - Fax:404-990-3542
Practice Address - Street 1:1365 CLIFTON RD NE # A2334
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-4441
Practice Address - Fax:404-778-4295
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD001543231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist