Individual
SUSAN O'CONNOR BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 COASTAL OAK CIR, PONTE VEDRA BEACH, FL 32082-2702
(610) 639-4554
Mailing address
168 COASTAL OAK CIR, PONTE VEDRA BEACH, FL 32082-2702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008999L
PA
103TC0700X
Clinical Psychologist
Primary
PS008999L
PA
103TC0700X
Clinical Psychologist
PY11787
FL
Other
Enumeration date
01/14/2022
Last updated
04/28/2026
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