Healthcare Provider Details

I. General information

NPI: 1639234735
Provider Name (Legal Business Name): CLAIRE E. BROWN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WOODLAND DR
THOMASVILLE GA
31792-3715
US

IV. Provider business mailing address

104 WOODLAND DR
THOMASVILLE GA
31792-3715
US

V. Phone/Fax

Practice location:
  • Phone: 229-473-0926
  • Fax: 229-516-4887
Mailing address:
  • Phone: 229-473-0926
  • Fax: 229-516-4887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY001593
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: