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NPI Code Detail

MEDICARE: MRS. CHIQUITA LYNN BROWN

MEDICARE:  MRS. CHIQUITA LYNN BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TR0400XRehabilitation Psychologist

General Provider Information

NPI Number : 1386963767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHIQUITA LYNN BROWN
Provider Business Mailing Address
First Line : 9936 RAILROAD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-7412
Country : US
Telephone Number : 405-455-7219
Fax Number :
Provider Business Practice Location Address
First Line : 312 NE 28TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-2804
Country : US
Telephone Number : 405-231-3150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2010
Last Update Date : 05/24/2010

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Directions to “ MRS. CHIQUITA LYNN BROWN ” Practice Location

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