Provider Demographics
NPI:1932303112
Name:BROWN, ALICE JANE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:JANE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5963
Mailing Address - Country:US
Mailing Address - Phone:212-260-7129
Mailing Address - Fax:212-477-4549
Practice Address - Street 1:8 E 10TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5963
Practice Address - Country:US
Practice Address - Phone:212-260-7129
Practice Address - Fax:212-477-4549
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7724103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical