Healthcare Provider Details

I. General information

NPI: 1972216331
Provider Name (Legal Business Name): KAITLIN BROWNE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2022
Last Update Date: 12/30/2022
Certification Date: 12/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 NW 2ND ST APT 101
POMPANO BEACH FL
33069-2649
US

IV. Provider business mailing address

3260 NW 2ND ST APT 101
POMPANO BEACH FL
33069-2649
US

V. Phone/Fax

Practice location:
  • Phone: 407-304-8754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY11287
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: