Individual
DR. MACKENZIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
792 S BERMONT AVE, LAFAYETTE, CO 80026-1519
(732) 567-6544
Mailing address
792 S BERMONT AVE, LAFAYETTE, CO 80026-1519
(732) 567-6544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0005213
CO
103TE1100X
Exercise & Sports Psychologist
0005213
CO
Other
Enumeration date
11/29/2017
Last updated
12/02/2022
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