Provider Demographics
NPI:1881046803
Name:BROWN, MEGHAN TENORE (MS SLP)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:TENORE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MILL POND LN
Mailing Address - Street 2:APT 302
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2105
Mailing Address - Country:US
Mailing Address - Phone:908-652-1659
Mailing Address - Fax:
Practice Address - Street 1:1336 BELMONT AVE
Practice Address - Street 2:SUITE 502B
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4500
Practice Address - Country:US
Practice Address - Phone:410-546-2894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-02
Last Update Date:2016-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01289L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist