Individual
DR. ALLEN JAMES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
46 OLIVER ST, WATERTOWN, MA 02472-4738
(617) 448-5813
Mailing address
46 OLIVER ST, WATERTOWN, MA 02472-4738
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6340
MA
103TC0700X
Clinical Psychologist
Primary
6340
MA
103TF0200X
Forensic Psychologist
6340
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05036
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/24/2007
Last updated
06/16/2010
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