Provider Demographics
NPI:1679357180
Name:BROWN, IAN SETH (LPMT, MT-BC)
Entity Type:Individual
Prefix:MR
First Name:IAN
Middle Name:SETH
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 POWDER MILL RD STE 500
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2649
Mailing Address - Country:US
Mailing Address - Phone:443-923-4186
Mailing Address - Fax:
Practice Address - Street 1:4600 POWDER MILL RD STE 500
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2649
Practice Address - Country:US
Practice Address - Phone:443-923-4170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00133225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist