Healthcare Provider Details

I. General information

NPI: 1700918067
Provider Name (Legal Business Name): LORRAINE ANN BROWN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 12/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 20TH ST., NW SUITE # 104
WASHINGTON DC
20036-5963
US

IV. Provider business mailing address

1400 20TH ST., NW SUITE # 104
WASHINGTON DC
20036-5963
US

V. Phone/Fax

Practice location:
  • Phone: 202-223-2569
  • Fax:
Mailing address:
  • Phone: 202-223-2569
  • Fax: 301-340-9360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number939
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1133
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number939
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1133
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: