Provider Demographics
NPI:1003451725
Name:BROWN, MARTHA CHRISTINE
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:CHRISTINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 DILWORTH RD
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551
Mailing Address - Country:US
Mailing Address - Phone:717-871-4636
Mailing Address - Fax:
Practice Address - Street 1:1414 ZARKER ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1366
Practice Address - Country:US
Practice Address - Phone:717-346-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker