Provider Demographics
NPI:1588682371
Name:BROWN, JAMES ALAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALAN
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:365 PABLO POINT DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-3282
Mailing Address - Country:US
Mailing Address - Phone:904-221-9104
Mailing Address - Fax:904-221-9765
Practice Address - Street 1:9951 ATLANTIC BLVD STE 312-2
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-6576
Practice Address - Country:US
Practice Address - Phone:904-721-3002
Practice Address - Fax:904-721-3008
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY3154103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical