Basic Information
| Provider Information | |||||||||
| NPI: | 1912502097 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAUREN BROWN, PSY.D., P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3457 BROOK CROSSING DR | ||||||||
| Address2: | |||||||||
| City: | BRANDON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335118181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8137013154 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3457 BROOK CROSSING DR | ||||||||
| Address2: | |||||||||
| City: | BRANDON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335118181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8137013154 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2020 | ||||||||
| LastUpdateDate: | 12/04/2020 | ||||||||
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| AuthorizedOfficialLastName: | BROWN | ||||||||
| AuthorizedOfficialFirstName: | LAUREN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 8137013154 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PSY.D. | ||||||||
| NPICertificationDate: | 12/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0855X | Y | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No ID Information.