Doctor Name: | DR. DEMETRIA C. BROWN |
NPI Number: | 1003052457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 3835 |
Business Practice Address: | 11923 Centre St Ste A9 Chester, VA - 238311702 |
Business Phone Number: | 8048616616 |
Business Fax Number: | |
Mailing Address: | 11923 Centre St Ste A9, CHESTER |
State: | VA |
Postal Code: | 238311702 |
Phone Number: | 8048616616 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2009 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3835 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |