Healthcare Provider Details

I. General information

NPI: 1881780088
Provider Name (Legal Business Name): DAVID S. BROWN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 04/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 COLLEGE ST SUITE 6
SOUTH HADLEY MA
01075-1421
US

IV. Provider business mailing address

7 ISABEL CT
HADLEY MA
01035-9719
US

V. Phone/Fax

Practice location:
  • Phone: 413-534-7400
  • Fax: 413-534-7483
Mailing address:
  • Phone: 413-320-7132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8639
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: