Doctor Name: | DR. JUDY STOKER BROWN |
NPI Number: | 1285641456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 0810001056 |
Business Practice Address: | 214 Commerce Street B Occoquan, VA - 221250063 |
Business Phone Number: | 7034946830 |
Business Fax Number: | |
Mailing Address: | 6206 Blossom Ln, MANASSAS |
State: | VA |
Postal Code: | 201123030 |
Phone Number: | 7033681553 |
Fax Number: | 7033681553 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810001056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |