| Doctor Name: | DR. SYD BROWN |
| NPI Number: | 1184792194 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 01664 |
| Business Practice Address: | 10500 Summit Avenue Kensington, MD - 20895 |
| Business Phone Number: | 3018972384 |
| Business Fax Number: | 3018972380 |
| Mailing Address: | 2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West ROCKVILLE |
| State: | MD |
| Postal Code: | 20852 |
| Phone Number: | 3018166660 |
| Fax Number: | 3018166308 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 12/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 01664 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |