Healthcare Provider Details

I. General information

NPI: 1407357841
Provider Name (Legal Business Name): MELANIE LYN BROWN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 OLD KINGS HWY S
DARIEN CT
06820-4526
US

IV. Provider business mailing address

30 OLD KINGS HWY S
DARIEN CT
06820-4526
US

V. Phone/Fax

Practice location:
  • Phone: 203-547-1017
  • Fax:
Mailing address:
  • Phone: 203-547-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number003823
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number022162
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: