| Doctor Name: | MRS. RANDI A BROWN |
| NPI Number: | 1083049712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, M.ED. |
| License Number: | 6107 |
| Business Practice Address: | 610 A Main Street Melrose, MA - 02176 |
| Business Phone Number: | 6175298059 |
| Business Fax Number: | |
| Mailing Address: | 610 A Main Street, MELROSE |
| State: | MA |
| Postal Code: | 02176 |
| Phone Number: | 6175298059 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2013 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |