Provider Demographics
NPI:1629186366
Name:BROWN, HARVEY (PHD)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 FELL ST UNIT 507
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3556
Mailing Address - Country:US
Mailing Address - Phone:410-522-1181
Mailing Address - Fax:410-522-1182
Practice Address - Street 1:735 S ANN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3402
Practice Address - Country:US
Practice Address - Phone:410-522-1181
Practice Address - Fax:410-522-1182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01672103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling