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NPI Code Detail

MEDICARE: DR. KEIRON BROWN PSY.D.

MEDICARE:  DR. KEIRON  BROWN  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY5534FL

General Provider Information

NPI Number : 1538346986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEIRON BROWN PSY.D.
Provider Business Mailing Address
First Line : 3501 JACKSON ST APT 405
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-7440
Country : US
Telephone Number : 954-961-6173
Fax Number : 954-961-6174
Provider Business Practice Location Address
First Line : 2632 HOLLYWOOD BLVD
Second Line : SUITE #306
City : HOLLYWOOD
State : FL
Zip : 33020-4847
Country : US
Telephone Number : 954-961-6173
Fax Number : 954-961-6174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 01/29/2008

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Directions to “ DR. KEIRON BROWN PSY.D.” Practice Location

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