Individual
MYRON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17133 ELLENDALE FOREST RD., ELLENDALE, DE 19941-3226
(302) 573-1231
Mailing address
17133 ELLENDALE FOREST RD., ELLENDALE, DE 19941-3226
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250557951
—
DE
Enumeration date
10/08/2020
Last updated
10/08/2020
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