Provider Demographics
NPI:1154836633
Name:BROWN-RICE, DEIDRA DAWN (MS, CDCA)
Entity Type:Individual
Prefix:
First Name:DEIDRA
Middle Name:DAWN
Last Name:BROWN-RICE
Suffix:
Gender:F
Credentials:MS, CDCA
Other - Prefix:
Other - First Name:DEIDRA
Other - Middle Name:DAWN
Other - Last Name:BROWN-RICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CDCA
Mailing Address - Street 1:7290 MARLAN AVE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1108
Mailing Address - Country:US
Mailing Address - Phone:614-404-3443
Mailing Address - Fax:
Practice Address - Street 1:16 W LONG ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215
Practice Address - Country:US
Practice Address - Phone:614-225-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-06
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker