Individual
SUSAN E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3262
WI
103T00000X
Psychologist
PY11582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY11582
MEDICAL LICENSE
FL
Enumeration date
02/06/2007
Last updated
10/09/2024
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