Provider Demographics
NPI:1649257122
Name:BROWNING, JENNIFER CELELE (MS CCC SLP)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:CELELE
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:4500 SOUTH FOUR MILE RUN DRIVE #610
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:678-471-4509
Mailing Address - Fax:
Practice Address - Street 1:6506 LOISDALE RD
Practice Address - Street 2:#300
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150
Practice Address - Country:US
Practice Address - Phone:703-924-4100
Practice Address - Fax:703-922-0638
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004583235Z00000X
GA05056235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12064472OtherASHA