Provider Demographics
NPI:1376810960
Name:BROWNING, MARY HARDEE (MED, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:HARDEE
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:MS
Other - First Name:MOLLY
Other - Middle Name:HARDEE
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, CCC-SLP
Mailing Address - Street 1:200 MONTGOMERY FERRY DR NE
Mailing Address - Street 2:APT. 36
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2736
Mailing Address - Country:US
Mailing Address - Phone:404-285-6773
Mailing Address - Fax:
Practice Address - Street 1:200 MONTGOMERY FERRY DR NE
Practice Address - Street 2:APT. 36
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2736
Practice Address - Country:US
Practice Address - Phone:404-285-6773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist