Individual
REBECCA MJ BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6720G RITCHIE HWY # 250, GLEN BURNIE, MD 21061-2319
(818) 497-6703
Mailing address
6720G RITCHIE HWY # 250, GLEN BURNIE, MD 21061-2319
(818) 497-6703
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PSY200001268
DC
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2020
Last updated
01/18/2024
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