Syd Brown, PHD
Individual provider Active NPI Clinical Psychologist · Kensington, MD
NPI 1184792194 · NPPES record last updated Dec 1, 2010
Key facts
- NPI
- 1184792194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 01164 (MD)
- Practice address
- 10500 Summit Avenue
Kensington, MD 20895 - Phone
- (301) 897-2384
- Fax
- (301) 897-2380
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01164 | MD | MD | Clinical Psychologist |
| 01664 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01164 | MD | Yes |
| Clinical Neuropsychologist | 103G00000X | 01664 | MD |
Addresses
Primary practice location
10500 Summit Avenue
Kensington, MD 20895
Mailing address
2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6 West
Rockville, MD 20852
Phone (301) 816-6660
Other providers in Kensington, MD
- William Kinker Brems
- Kathryn H Brinsfield
- Richard Albert Brisbane
- Claire Elaine Briscoe
- Dorothy Brown
- Esther Klara Brunner-Kish
- Barbara J Bryden
- Blythe Nicole Bryner
- Bunnag Dental Associates, Inc.
- Kelly Burgdorf
All providers in Kensington, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.