Doctor Name: | MRS. MARISSA PERRELLI BROWN |
NPI Number: | 1316173941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 007056 |
Business Practice Address: | 595 Thompson Ave East Haven, CT - 065122934 |
Business Phone Number: | 2034683297 |
Business Fax Number: | 2034683334 |
Mailing Address: | 191 Monticello Dr, BRANFORD |
State: | CT |
Postal Code: | 064054168 |
Phone Number: | 2035065692 |
Fax Number: | 2034683334 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |