Provider Demographics
NPI:1629373998
Name:DEES, BROOKE ALLEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ALLEN
Last Name:DEES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7412 JOHNSON CT
Mailing Address - Street 2:MOBILE
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4414
Mailing Address - Country:US
Mailing Address - Phone:251-259-2430
Mailing Address - Fax:
Practice Address - Street 1:7412 JOHNSON CT
Practice Address - Street 2:MOBILE
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4414
Practice Address - Country:US
Practice Address - Phone:251-259-2430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2730235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist