Provider Demographics
NPI:1760759237
Name:SINGLETON-BROWN, KATRICA IVANA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATRICA
Middle Name:IVANA
Last Name:SINGLETON-BROWN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 LITTLE JOHN LN
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29153-5102
Mailing Address - Country:US
Mailing Address - Phone:803-847-9791
Mailing Address - Fax:
Practice Address - Street 1:340 RAST ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2595
Practice Address - Country:US
Practice Address - Phone:803-847-9791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4729235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist