Individual
DR. JEAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
626 RIVERSIDE DR, NEW YORK, NY 10031-7201
(212) 281-5034
Mailing address
626 RIVERSIDE DR APT 17E, NEW YORK, NY 10031-7224
(212) 281-5034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019415-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019415
LICENSE
NY
Enumeration date
12/01/2012
Last updated
12/12/2018
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