Individual
DOROTHY B BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2128 MAIN RD, TIVERTON, RI 02878
(401) 624-9972
(401) 624-1452
Mailing address
2128 MAIN RD, TIVERTON, RI 02878
(401) 624-9972
(401) 624-1452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4612
MA
103T00000X
Psychologist
Primary
RI377
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRWO4553
BLUE CROSS
MA
01
—
RIBC93374
BLUE CROSS
RI
Enumeration date
12/13/2006
Last updated
07/24/2010
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