Provider Demographics
NPI:1740562669
Name:BROWN, ANGELA ANN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 MCDERMED DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3816
Mailing Address - Country:US
Mailing Address - Phone:713-299-8943
Mailing Address - Fax:713-729-1965
Practice Address - Street 1:4410 MCDERMED DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3816
Practice Address - Country:US
Practice Address - Phone:713-299-8943
Practice Address - Fax:713-729-1965
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist