Provider Demographics
NPI:1932143625
Name:BROWN, DEBORA ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:126 MARINA LAKES DRIVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804
Mailing Address - Country:US
Mailing Address - Phone:415-750-2239
Mailing Address - Fax:415-750-6660
Practice Address - Street 1:4150 CLEMENT STREET
Practice Address - Street 2:AUDIOLOGY (126)
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121
Practice Address - Country:US
Practice Address - Phone:415-750-2239
Practice Address - Fax:415-750-6660
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2388231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist