Jacqueline B. Brown in St. Augustine - Clinical Child & Adolescent

Jacqueline B. Brown - NPI 1659551497

Jacqueline B. Brown is a Clinical Child & Adolescent in St. Augustine, Florida. Jacqueline B. Brown practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jacqueline B. Brown is 1659551497. The last update date is 2010-01-22.

Jacqueline B. Brown's current location address is 1100-1 S. Ponce De Leon Blvd, St. Augustine, Florida. You can contact this provider via phone number 9048247733 and fax number 9048299768. The mailing address for Jacqueline B. Brown is 1100-1 S. Ponce De Leon Blvd, St. Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline B. Brown
Address 1100-1 S. Ponce De Leon Blvd, St. Augustine, Florida
Phone Number 9048247733
Fax Number 9048299768
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1659551497
Provider Enumeration Date 2007-11-09
Last Updated Date 2010-01-22

Provider Mailing Address Detail

Address 1100-1 S. Ponce De Leon Blvd
City St. Augustine
State Florida (FL)
Post Code 32092
Phone Number 9048247733
Fax Number 9048299768

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PY8006
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Jacqueline B. Brown

What is the unique provider identifier assigned to Jacqueline B. Brown?

The Jacqueline B. Brown has been issued the NPI (National Provider Identifier) 1659551497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jacqueline B. Brown's facilities are geographically located?

The facilities of Jacqueline B. Brown are physically situated at the following location: 1100-1 S. Ponce De Leon Blvd, St. Augustine, FL, 32092.

What is Jacqueline B. Brown's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jacqueline B. Brown's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did the Jacqueline B. Brown receive its 1659551497 assignment from the Centers for Medicare & Medicaid Services?

The Jacqueline B. Brown was assigned its 1659551497 by the Centers for Medicare & Medicaid Services on 2007-11-09.

As of what date was the information regarding Jacqueline B. Brown, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jacqueline B. Brown, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-22.

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