Provider Demographics
NPI:1073711578
Name:BROWN, GAIL M (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:M
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MRS
Other - First Name:GAIL
Other - Middle Name:M
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:79 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2932
Mailing Address - Country:US
Mailing Address - Phone:413-530-1047
Mailing Address - Fax:
Practice Address - Street 1:360 BIRNIE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01199-0001
Practice Address - Country:US
Practice Address - Phone:413-794-3649
Practice Address - Fax:413-787-5405
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT666231H00000X
MA854231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist