Healthcare Provider Details

I. General information

NPI: 1124008578
Provider Name (Legal Business Name): BROWN CURTIN GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 N MAIN ST STE 205B
ST CHARLES MO
63301
US

IV. Provider business mailing address

340 N MAIN ST STE 205B
ST CHARLES MO
63301
US

V. Phone/Fax

Practice location:
  • Phone: 636-255-0400
  • Fax: 636-925-3511
Mailing address:
  • Phone: 636-255-0400
  • Fax: 636-925-3511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2001014376
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2001
License Number StateMO

VIII. Authorized Official

Name: DR. RHONDA MARIE BROWN
Title or Position: PRESIDENT
Credential: PHD
Phone: 636-255-0400