Individual
DR. JACOB THEODORE BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7950 CROSSROADS DR, 607, NORTH CHARLESTON, SC 29406-9411
(843) 576-4254
(800) 479-2209
Mailing address
7950 CROSSROADS DR, 607, NORTH CHARLESTON, SC 29406-9411
(843) 576-4254
(800) 479-2209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1006
SC
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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