Provider Demographics
NPI:1114479425
Name:BROWN, BRENDA KAY (AAS,-HHP)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:KAY
Last Name:BROWN
Suffix:
Gender:F
Credentials:AAS,-HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CORPORATE HILL DR.
Mailing Address - Street 2:SUITE #209
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4541
Mailing Address - Country:US
Mailing Address - Phone:501-588-0099
Mailing Address - Fax:801-396-7061
Practice Address - Street 1:18 CORPORATE HILL DR.
Practice Address - Street 2:SUITE #209
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4541
Practice Address - Country:US
Practice Address - Phone:501-588-0099
Practice Address - Fax:801-396-7061
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR589237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist