Provider Demographics
NPI:1427559616
Name:NAAS, BROOKLYN
Entity Type:Individual
Prefix:MRS
First Name:BROOKLYN
Middle Name:
Last Name:NAAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 COUNTY ROAD 600 E
Mailing Address - Street 2:
Mailing Address - City:NORRIS CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62869-3614
Mailing Address - Country:US
Mailing Address - Phone:618-926-6861
Mailing Address - Fax:
Practice Address - Street 1:215 N. FIRST STREET
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:IL
Practice Address - Zip Code:62835
Practice Address - Country:US
Practice Address - Phone:618-963-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist