Provider Demographics
NPI:1649726878
Name:BROWN, EMBER ESTELLE LANUTI (MS, CFY-SLP)
Entity type:Individual
Prefix:
First Name:EMBER
Middle Name:ESTELLE LANUTI
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 NAVAJO CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-7549
Mailing Address - Country:US
Mailing Address - Phone:479-530-8533
Mailing Address - Fax:
Practice Address - Street 1:4209 NAVAJO COURT
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764
Practice Address - Country:US
Practice Address - Phone:479-530-8533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist