Doctor Name: | SYDNI BROWN |
NPI Number: | 1003204736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 308 Medic Way Greencastle, IN - 461352296 |
Business Phone Number: | 7656532669 |
Business Fax Number: | |
Mailing Address: | 308 Medic Way, GREENCASTLE |
State: | IN |
Postal Code: | 461352296 |
Phone Number: | 7656532669 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2015 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |