Provider Demographics
NPI:1053747634
Name:BROWN, ROMONDA JOI (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ROMONDA
Middle Name:JOI
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:ROMONDA
Other - Middle Name:JOI
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:109 STERLING LAKES DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4362
Mailing Address - Country:US
Mailing Address - Phone:205-902-0011
Mailing Address - Fax:
Practice Address - Street 1:109 STERLING LAKES DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35022-4362
Practice Address - Country:US
Practice Address - Phone:205-902-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist