Healthcare Provider Details

I. General information

NPI: 1902325251
Provider Name (Legal Business Name): RACHEL ANN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7746 WISE AVE
SAINT LOUIS MO
63117-1543
US

IV. Provider business mailing address

7746 WISE AVE
SAINT LOUIS MO
63117-1543
US

V. Phone/Fax

Practice location:
  • Phone: 785-231-7262
  • Fax:
Mailing address:
  • Phone: 785-231-7262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: