Provider Demographics
NPI:1326177569
Name:BROWN, DENE YVETTE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:DENE
Middle Name:YVETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-3018
Mailing Address - Country:US
Mailing Address - Phone:414-736-4225
Mailing Address - Fax:
Practice Address - Street 1:2430 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3018
Practice Address - Country:US
Practice Address - Phone:414-736-4225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET001100235Z00000X
FLSA9205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist