Provider Demographics
NPI:1750600649
Name:BROWN, STEWART
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 SHERMAN ST
Mailing Address - Street 2:SUITE 507
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3529
Mailing Address - Country:US
Mailing Address - Phone:303-393-2897
Mailing Address - Fax:
Practice Address - Street 1:789 SHERMAN ST
Practice Address - Street 2:SUITE 507
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3529
Practice Address - Country:US
Practice Address - Phone:303-393-2897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1296103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical