Doctor Name: | SUE ELLEN BROWN |
NPI Number: | 1841519485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PS004408L |
Business Practice Address: | 456 N Pitt St Mercer, PA - 161371129 |
Business Phone Number: | 7246627202 |
Business Fax Number: | 7246627208 |
Mailing Address: | 456 N. Pitt St., MERCER |
State: | PA |
Postal Code: | 16137 |
Phone Number: | 7246627202 |
Fax Number: | 7246627208 |
NPI Enumeration Date: | 05/21/2010 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS004408L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |