Provider Demographics
NPI:1861628687
Name:BROWN-LUCAS, RAMONA SUZANNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:SUZANNE
Last Name:BROWN-LUCAS
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 1:10187 TALLADEGA CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5502
Mailing Address - Country:US
Mailing Address - Phone:317-431-7422
Mailing Address - Fax:317-595-9766
Practice Address - Street 1:10187 TALLADEGA CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-5502
Practice Address - Country:US
Practice Address - Phone:317-431-7422
Practice Address - Fax:317-595-9766
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004507A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist