| Mark C. Brown, Phd,llc | |
|
9781 Whisperwood Circle Chagrin Falls OH 44023-5182 | |
| (440) 338-3214 | |
| Not Available |
| Full Name | Mark C. Brown, Phd,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9781 Whisperwood Circle, Chagrin Falls, Ohio |
| Authorized Official Name and Position | Mark C. Brown (OWNER) |
| Authorized Official Contact | 4403383214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C. Brown, Phd,llc 9781 Whisperwood Circle Chagrin Falls OH 44023-5182 Ph: (440) 338-3214 | Mark C. Brown, Phd,llc 9781 Whisperwood Circle Chagrin Falls OH 44023-5182 Ph: (440) 338-3214 |
| NPI Number | 1023406782 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 4183949688 |
|---|---|
| Medicare Enrollment ID | O20150204000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023406782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2304 (Ohio) | Primary |
| Provider Name | Mark C Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215062625 PECOS PAC ID: 9032101803 Enrollment ID: I20040401000235 |
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