NPI 1073820213 · live from the CMS NPI Registry
Micky Jo Brown, MS, CCC-SLP
Speech-Language Pathologist, in Fort Scott, KS. National Provider Identifier 1073820213, active.
NPI record
| NPI | 1073820213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5 E Wall St, Fort Scott, KS 66701 |
| Practice phone | 918-384-8835 |
| Mailing address | 423 N Franklin St, Fort Scott, KS 66701 |
| Enumerated | September 9, 2010 |
| Last updated | March 17, 2023 |
| Sole proprietor | Yes |
| Other names | Jodi Mendoza |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 4426 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.