Provider Demographics
NPI:1588771281
Name:BROWNING, ALICIA DUMBLETON (MED CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:DUMBLETON
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 PARK VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6648
Mailing Address - Country:US
Mailing Address - Phone:919-219-0145
Mailing Address - Fax:919-267-5447
Practice Address - Street 1:208 PARK VALLEY LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6648
Practice Address - Country:US
Practice Address - Phone:919-219-0145
Practice Address - Fax:919-267-5447
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5672235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7411932Medicaid