Provider Demographics
NPI:1821284811
Name:BROWN, THADDEA TAMARA
Entity Type:Individual
Prefix:MISS
First Name:THADDEA
Middle Name:TAMARA
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ELY AVE
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-4669
Mailing Address - Country:US
Mailing Address - Phone:203-853-0418
Mailing Address - Fax:
Practice Address - Street 1:148 BEACH RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6002
Practice Address - Country:US
Practice Address - Phone:203-255-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical