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Individual

DR. DUSTIN J BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD, LP

Contact information

Practice address
2108 W VISTA ST, SPRINGFIELD, MO 65807
(417) 597-4309
(417) 763-3308
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2012033816
MO
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2012033816
MO

Other

Enumeration date
10/01/2012
Last updated
01/17/2024
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