Individual
MARSHA D BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD P A
Contact information
Practice address
757 SE 17TH ST STE 622, FORT LAUDERDALE, FL 33316-2960
(917) 979-3743
(954) 743-0265
Mailing address
757 SE 17TH ST STE 622, FORT LAUDERDALE, FL 33316-2960
(917) 979-3743
(954) 743-0265
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9675
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY9675
FL
103TC0700X
Clinical Psychologist
PY9675
FL
103TF0200X
Forensic Psychologist
PY9675
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/04/2010
Last updated
08/05/2021
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