| Sharon D Brown, Psy.d., Llc | |
|
1250 W Dorothy Ln Suite 104 Dayton OH 45409-1317 | |
| (937) 294-6612 | |
| (937) 236-0661 |
| Full Name | Sharon D Brown, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1250 W Dorothy Ln, Dayton, Ohio |
| Authorized Official Name and Position | Sharon D Brown (OWNER) |
| Authorized Official Contact | 9372361331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon D Brown, Psy.d., Llc 1250 W Dorothy Ln Suite 104 Dayton OH 45409-1317 Ph: (937) 294-6612 | Sharon D Brown, Psy.d., Llc 1250 W Dorothy Ln Suite 104 Dayton OH 45409-1317 Ph: (937) 294-6612 |
| NPI Number | 1316027873 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 02/28/2017 |
| Medicare PECOS PAC ID | 3173550084 |
|---|---|
| Medicare Enrollment ID | O20050722000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316027873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharon D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598769051 PECOS PAC ID: 7517994429 Enrollment ID: I20050722000303 |
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