Basic Information
Provider Information
NPI: 1679887202
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: MARC
MiddleName: A.
NamePrefix: DR.
NameSuffix:  
Credential: PSY.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1335 N MILL ST STE 100
Address2:  
City: NAPERVILLE
State: IL
PostalCode: 605632047
CountryCode: US
TelephoneNumber: 6306468013
FaxNumber: 6306468007
Practice Location
Address1: 1335 N MILL ST STE 100
Address2:  
City: NAPERVILLE
State: IL
PostalCode: 605632047
CountryCode: US
TelephoneNumber: 6306468013
FaxNumber: 6306468007
Other Information
ProviderEnumerationDate: 08/06/2010
LastUpdateDate: 04/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X071 007887ILY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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