Individual
MARISA ANN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001
(860) 284-0182
Mailing address
15 ORANGE ST #215, NEW HAVEN, CT 06510
(480) 225-4444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003226
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6486
CT
Other
Enumeration date
01/12/2009
Last updated
03/30/2016
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