Individual
DR. JACQUELINE B. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1100-1 S. PONCE DE LEON BLVD, ST. AUGUSTINE, FL 32092
(904) 824-7733
(904) 829-9768
Mailing address
1100-1 S. PONCE DE LEON BLVD, ST. AUGUSTINE, FL 32092
(904) 824-7733
(904) 829-9768
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY8006
FL
Other
Enumeration date
11/09/2007
Last updated
01/22/2010
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