Provider Demographics
NPI:1750788535
Name:BROWN, SHUNDA (PHD)
Entity type:Individual
Prefix:
First Name:SHUNDA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 WOODBURY FALLS DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1417
Mailing Address - Country:US
Mailing Address - Phone:931-221-7238
Mailing Address - Fax:
Practice Address - Street 1:601 COLLEGE ST
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY, APSU
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37044-0001
Practice Address - Country:US
Practice Address - Phone:931-221-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-23
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health