Individual
JACK SCOTT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10801 W 87TH ST, SUITE 300, OVERLAND PARK, KS 66214
(913) 438-2100
(913) 438-2119
Mailing address
10801 W 87TH ST, SUITE 300, OVERLAND PARK, KS 66214
(913) 438-2100
(913) 438-2119
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KSLP0973
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25156039
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/22/2006
Last updated
07/08/2007
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