Provider Demographics
NPI:1164177713
Name:BROWN, NOREEN DONLEY
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:DONLEY
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOREEN
Other - Middle Name:JEAN
Other - Last Name:DONLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:10024 DUNLEITH LOOP
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4564
Mailing Address - Country:US
Mailing Address - Phone:214-864-7371
Mailing Address - Fax:
Practice Address - Street 1:10024 DUNLEITH LOOP
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4564
Practice Address - Country:US
Practice Address - Phone:214-864-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-12
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5015235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist