Provider Demographics
NPI:1902232267
Name:BROWN, CARRIE ANDERSON (EDD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:ANDERSON
Last Name:BROWN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3523 CRESSWELL CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4840
Mailing Address - Country:US
Mailing Address - Phone:832-368-3881
Mailing Address - Fax:
Practice Address - Street 1:3523 CRESSWELL CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4840
Practice Address - Country:US
Practice Address - Phone:832-368-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16729235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist