Provider Demographics
NPI:1407217748
Name:BROWN, SHARNAY (PSYD)
Entity Type:Individual
Prefix:
First Name:SHARNAY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 S SYRACUSE WAY
Mailing Address - Street 2:#B303
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3832
Mailing Address - Country:US
Mailing Address - Phone:970-302-5116
Mailing Address - Fax:
Practice Address - Street 1:2575 S SYRACUSE WAY
Practice Address - Street 2:#B303
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-3832
Practice Address - Country:US
Practice Address - Phone:970-302-5116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.000406103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical