Individual
MRS. JANE WILSON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
281 INDEPENDENCE BLVD, STE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
(757) 497-1327
Mailing address
281 INDEPENDENCE BLVD, STE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
(757) 497-1327
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001804
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010239354
—
VA
Enumeration date
10/12/2005
Last updated
07/08/2007
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