Dr Jacob Theodore Brown Jr, PHD | |
7950 Crossroads Dr, 607, North Charleston, SC 29406-9411 | |
(843) 576-4254 | |
(800) 479-2209 |
Full Name | Dr Jacob Theodore Brown Jr |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 7950 Crossroads Dr, North Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245425230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1006 (South Carolina) | Primary |
Entity Name | Senior Care Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563 |
Mailing Address | Practice Location Address |
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Dr Jacob Theodore Brown Jr, PHD 7950 Crossroads Dr, 607, North Charleston, SC 29406-9411 Ph: (843) 576-4254 | Dr Jacob Theodore Brown Jr, PHD 7950 Crossroads Dr, 607, North Charleston, SC 29406-9411 Ph: (843) 576-4254 |
Jana Isom, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7301 Rivers Ave, Suite 100, North Charleston, SC 29406 Phone: 843-637-4211 | |
Dr. Mary Larson Svendsen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2138 Ashley Phosphate Road, Suite 203, North Charleston, SC 29406 Phone: 843-569-2904 Fax: 843-863-0837 | |
Sophie Ellis, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9217 University Blvd Ste C1a, North Charleston, SC 29406 Phone: 843-619-7989 | |
Brian L West, PH.D Psychologist Medicare: Medicare Enrolled Practice Location: 9229 University Blvd # F, 2b, North Charleston, SC 29406 Phone: 843-572-9800 | |
Ms. Jennifer A Green, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5431 Clairmont Ln, North Charleston, SC 29420 Phone: 843-821-3973 | |
Jennifer Chiaramonti, M.S./ED.S. LPES NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7301 Rivers Ave Ste 100, North Charleston, SC 29406 Phone: 843-637-4211 | |
Dr. Cody Mcginnis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4000 Faber Place Dr Ste 300, North Charleston, SC 29405 Phone: 919-436-3751 |