Doctor Name: | DANIEL BROWN |
NPI Number: | 1053734970 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | LGP4483 |
Business Practice Address: | 2010 W Chester Pike Havertown, PA - 190832700 |
Business Phone Number: | 6108923800 |
Business Fax Number: | |
Mailing Address: | 1204 Holly Ln, GLEN MILLS |
State: | PA |
Postal Code: | 193429620 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/28/2014 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LGP4483 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |