Doctor Name: | MS. TERESA JOYCE BROWN |
NPI Number: | 1225170004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LP |
License Number: | LP3307 |
Business Practice Address: | 616 4th St Ne Staples, MN - 564792273 |
Business Phone Number: | 2188941002 |
Business Fax Number: | |
Mailing Address: | 19727 140th St, VERNDALE |
State: | MN |
Postal Code: | 564812025 |
Phone Number: | 2186395877 |
Fax Number: | 2188940131 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | LP3307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |