Organization
DR. CARYN BROWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARYN BROWN PSYD (PRETSIDEN)
(219) 756-8944
Entity
Organization
Contact information
Practice address
119 W 86TH AVE, MERRILLVILLE, IN 46410-7063
(219) 756-8944
(219) 756-8945
Mailing address
119 W 86TH AVE, MERRILLVILLE, IN 46410-7063
(219) 756-8944
(219) 756-8945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041341A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200227210B
—
IN
Enumeration date
03/23/2011
Last updated
03/23/2011
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