Provider Demographics
NPI:1770373714
Name:BROWN, VERONICA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:BROWN
Suffix:
Gender:X
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 1:1020 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6771
Mailing Address - Country:US
Mailing Address - Phone:321-704-4132
Mailing Address - Fax:
Practice Address - Street 1:1020 DEER RUN DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-6771
Practice Address - Country:US
Practice Address - Phone:321-704-4132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23418235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty