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Contact Information

ROBERT R BROWN, PHD, LICSW, LADAC-1
25 MOUNT IDA RD
DORCHESTER, MA02122-1709
 Phone: 617-288-1584
 Fax: 617-288-8881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT R BROWN · (Male)

NPI Number 1942585781
Status Active
Credentials PHD, LICSW, LADAC-1
Entity Individual
Enumeration date 10/12/2011
Last updated 10/12/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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