Provider Demographics
NPI:1326795295
Name:BROWN, MADISON
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9465 E IRONWOOD SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4579
Mailing Address - Country:US
Mailing Address - Phone:480-588-3180
Mailing Address - Fax:480-656-6211
Practice Address - Street 1:9465 E IRONWOOD SQUARE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4579
Practice Address - Country:US
Practice Address - Phone:480-588-3180
Practice Address - Fax:480-656-6211
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA14611231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist