Provider Demographics
NPI:1336257948
Name:BROWN, PAMELA H (MED CCC-SLP SPEECH P)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:H
Last Name:BROWN
Suffix:
Gender:F
Credentials:MED CCC-SLP SPEECH P
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4830
Mailing Address - Street 2:ERROR PHB
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77903-4830
Mailing Address - Country:US
Mailing Address - Phone:361-573-0017
Mailing Address - Fax:361-573-0018
Practice Address - Street 1:5606 N NAVARRO
Practice Address - Street 2:STE 211
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904
Practice Address - Country:US
Practice Address - Phone:361-573-0017
Practice Address - Fax:361-573-0018
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10394235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist