Provider Demographics
NPI:1346897691
Name:BROWN, LYNETTE HEBERT (MS)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:HEBERT
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17450 ST LUKES WAY STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2003
Mailing Address - Country:US
Mailing Address - Phone:936-273-4437
Mailing Address - Fax:
Practice Address - Street 1:3301 W DAVIS ST STE E
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1872
Practice Address - Country:US
Practice Address - Phone:936-273-4437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81130231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist