Provider Demographics
NPI:1558177428
Name:BROWNFIELD, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BROWNFIELD
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 1:609 MANNING DR
Mailing Address - Street 2:
Mailing Address - City:NOEL
Mailing Address - State:MO
Mailing Address - Zip Code:64854-9240
Mailing Address - Country:US
Mailing Address - Phone:515-419-0504
Mailing Address - Fax:
Practice Address - Street 1:10 STAMPEDE DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:MO
Practice Address - Zip Code:64831-7801
Practice Address - Country:US
Practice Address - Phone:417-845-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220381822355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant