Provider Demographics
NPI:1154309565
Name:BROWN, THERESA CHRISTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:CHRISTINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2590 S LEONARD PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3256
Mailing Address - Country:US
Mailing Address - Phone:480-855-6787
Mailing Address - Fax:
Practice Address - Street 1:810 E HAMMOND LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6515
Practice Address - Country:US
Practice Address - Phone:602-495-3809
Practice Address - Fax:602-254-7340
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ207SC0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics