Healthcare Provider Details

I. General information

NPI: 1255454369
Provider Name (Legal Business Name): BROWNEN WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 GRAFTON LANE
BERRYVILLE VA
22611
US

IV. Provider business mailing address

180 GRAFTON LANE
BERRYVILLE VA
22611-3142
US

V. Phone/Fax

Practice location:
  • Phone: 540-542-0200
  • Fax: 540-542-0218
Mailing address:
  • Phone: 540-542-0200
  • Fax: 540-542-0218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number07189
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: