Provider Demographics
NPI:1982329819
Name:BROWNING, PEYTON ALEXUS MARIE (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:PEYTON
Middle Name:ALEXUS MARIE
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1593 WHITE OAK RD
Mailing Address - Street 2:
Mailing Address - City:BIDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:45614-9680
Mailing Address - Country:US
Mailing Address - Phone:740-645-4348
Mailing Address - Fax:
Practice Address - Street 1:1000 VETERANS DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-9586
Practice Address - Country:US
Practice Address - Phone:740-395-8120
Practice Address - Fax:740-395-8129
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-04
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20222109235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist