Provider Demographics
NPI:1366680670
Name:BROWN, LYNN MICHELLE (SLP, TOD, TSHH)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MICHELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:SLP, TOD, TSHH
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:MICHELLE
Other - Last Name:WEINTRAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 EAST PHILLIPS HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:914-393-9464
Mailing Address - Fax:
Practice Address - Street 1:125 EAST PHILLIPS HILL ROAD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956
Practice Address - Country:US
Practice Address - Phone:914-393-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012185235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist