Provider Demographics
NPI:1275843641
Name:BROWN, AMBER HELEN (MS CCC/SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:HELEN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS CCC/SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 NORTH ST.
Mailing Address - Street 2:
Mailing Address - City:PANAMA
Mailing Address - State:NY
Mailing Address - Zip Code:14767
Mailing Address - Country:US
Mailing Address - Phone:716-782-2455
Mailing Address - Fax:
Practice Address - Street 1:41 NORTH ST.
Practice Address - Street 2:
Practice Address - City:PANAMA
Practice Address - State:NY
Practice Address - Zip Code:14767
Practice Address - Country:US
Practice Address - Phone:716-782-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008909235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist