| Doctor Name: | DR. JAIME HUMBERTO BROWN |
| NPI Number: | 1144410200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY. D. |
| License Number: | PSY 25423 |
| Business Practice Address: | 265 S Randolph Ave Ste 165 Brea, CA - 928215786 |
| Business Phone Number: | 6265816752 |
| Business Fax Number: | 7145441473 |
| Mailing Address: | 16630 Wegman Dr, LA PUENTE |
| State: | CA |
| Postal Code: | 917444853 |
| Phone Number: | 6265816752 |
| Fax Number: | 7145441473 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY 25423 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |