Provider Demographics
NPI:1891885356
Name:SNOWDEN, SELENA BROWN (AUD)
Entity Type:Individual
Prefix:DR
First Name:SELENA
Middle Name:BROWN
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3985 CALLE DE SANTOS
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-3406
Mailing Address - Country:US
Mailing Address - Phone:850-656-8917
Mailing Address - Fax:
Practice Address - Street 1:107 REGIONAL REHABILITATION CENTER
Practice Address - Street 2:FLORIDA STATE UNIVERSITY SPEECH AND HEARING CLINIC
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32306
Practice Address - Country:US
Practice Address - Phone:850-644-2238
Practice Address - Fax:850-644-8994
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1007231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist