Provider Demographics
NPI:1568627636
Name:BROWN, JANET E (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 BALDWIN DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5048
Mailing Address - Country:US
Mailing Address - Phone:703-356-8234
Mailing Address - Fax:
Practice Address - Street 1:1732 BALDWIN DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5048
Practice Address - Country:US
Practice Address - Phone:703-356-8234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist