Provider Demographics
NPI:1790905826
Name:BROWN, CARLA STEPHANIE (MD)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:STEPHANIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6501 N CHARLES STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21285-6815
Mailing Address - Country:US
Mailing Address - Phone:410-938-3000
Mailing Address - Fax:410-938-5011
Practice Address - Street 1:6501 N CHARLES STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21285-6815
Practice Address - Country:US
Practice Address - Phone:410-938-3000
Practice Address - Fax:410-938-3410
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00637422084P0804X
SC864432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry