Provider Demographics
NPI:1720779895
Name:JOSEY, BROOKLYN DEAS (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BROOKLYN
Middle Name:DEAS
Last Name:JOSEY
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 INDEPENDENCE CIR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-3600
Mailing Address - Country:US
Mailing Address - Phone:318-294-9247
Mailing Address - Fax:
Practice Address - Street 1:395 S ELM ST
Practice Address - Street 2:
Practice Address - City:HAUGHTON
Practice Address - State:LA
Practice Address - Zip Code:71037-9683
Practice Address - Country:US
Practice Address - Phone:318-549-7445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7662235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist