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NPI Code Detail

MEDICARE: DR. DAVID GEORGE BROWN PSY.D.,

MEDICARE: DR. DAVID GEORGE BROWN PSY.D.,
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
1103TC0700XClinical PsychologistPY00003519WA

General Provider Information

NPI Number : 1700876315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GEORGE BROWN PSY.D.,
Provider Business Mailing Address
First Line : CMR 411
Second Line : BOX 5492
City : APO
State : AE
Zip : 09112
Country : DE
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : CMR 411
Second Line : BOX 5492
City : APO
State : AE
Zip : 09112
Country : DE
Telephone Number : 49966283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/08/2007

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