Provider Demographics
NPI:1063714541
Name:BROWN, JANET LYNN (MA,CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LYNN
Last Name:BROWN
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 1:6706 SOUTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3159
Mailing Address - Country:US
Mailing Address - Phone:214-821-8470
Mailing Address - Fax:
Practice Address - Street 1:4600 FULLER DR
Practice Address - Street 2:STE 150
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6551
Practice Address - Country:US
Practice Address - Phone:469-420-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15139235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist