MEDICARE: DR. JAMES G. BROWN PH.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
1	103T00000X	Psychologist	PY3424	FL

General Provider Information

NPI Number	:	1922162825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES G. BROWN PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 14641
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-4641
Country	:	US
Telephone Number	:	850-309-0811
Fax Number	:	850-309-0812

Provider Business Practice Location Address
First Line	:	1927 BUFORD BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4466
Country	:	US
Telephone Number	:	850-309-0811
Fax Number	:	850-309-0812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	07/01/2015

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