Healthcare Provider Details

I. General information

NPI: 1023653268
Provider Name (Legal Business Name): COLTON ABRAHAM BROWN PHD, HSP-P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 11/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WOODFIN PL STE 237
ASHEVILLE NC
28801-2467
US

IV. Provider business mailing address

60 WILKINSON PASS LN APT 204
WAYNESVILLE NC
28786-8950
US

V. Phone/Fax

Practice location:
  • Phone: 706-424-6563
  • Fax:
Mailing address:
  • Phone: 706-424-6563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5609
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: