Healthcare Provider Details

I. General information

NPI: 1427085083
Provider Name (Legal Business Name): ANN MARIE BROWN LCSW, BCD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CHRISTY DR
CHADDS FORD PA
19317-9667
US

IV. Provider business mailing address

9 COLONIAL VILLAGE GREEN DR.
ASTON PA
19014-1756
US

V. Phone/Fax

Practice location:
  • Phone: 610-459-9841
  • Fax: 610-459-9860
Mailing address:
  • Phone: 610-459-9841
  • Fax: 610-459-9860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012583
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: