MEDICARE: DR. RONALD T BROWN PHD

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
1	101YM0800X	Mental Health Counselor	PSY001171	GA

General Provider Information

NPI Number	:	1457215741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD T BROWN PHD

Provider Business Mailing Address
First Line	:	235 NE 1ST ST APT 514
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3783
Country	:	US
Telephone Number	:	313-244-8494
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 NE 1ST ST APT 514
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3783
Country	:	US
Telephone Number	:	313-244-8494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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