Doctor Name: | MR. DANIEL CALVIN BROWN |
NPI Number: | 1508290123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 25r Market St Ipswich, MA - 019382212 |
Business Phone Number: | 9783561776 |
Business Fax Number: | |
Mailing Address: | 37 Prescott St, Unit 2 MEDFORD |
State: | MA |
Postal Code: | 021553630 |
Phone Number: | 3392031794 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2013 |
NPI Last Update Date: | 09/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |