Provider Demographics
NPI:1801479605
Name:BROWNING, SUSAN LYNN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:LYNN
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13412 W STAR DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-2705
Mailing Address - Country:US
Mailing Address - Phone:586-251-2556
Mailing Address - Fax:586-884-0699
Practice Address - Street 1:13412 W STAR DR
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-2705
Practice Address - Country:US
Practice Address - Phone:586-251-2556
Practice Address - Fax:586-884-0699
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101002792235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist