Individual
DR. LISA E. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
157 EAST 86TH STREET, SUITE 2B, NEW YORK, NY 10028
(212) 996-8101
Mailing address
157 E 86TH ST, SUITE 2B, NEW YORK, NY 10028-2175
(212) 996-8101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015047
NY
103TC0700X
Clinical Psychologist
4062
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
015047
NY
103TC2200X
Clinical Child & Adolescent Psychologist
4062
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2220161
TAX ID
NY
Enumeration date
04/25/2007
Last updated
07/17/2013
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