Active NPIIndividual provider

Wallace Brown

Counselor, Mental Health in Brockton, Massachusetts

NPI Number1972976769
Practice location
10 Meadowbrook RD, Brockton, MA 02301-7122
Fax
—
Last updated
November 16, 2015

Wallace Brown is a Counselor, Mental Health based in Brockton, MA. Wallace Brown practices in Brockton, MA. The NPI Number for Wallace Brown is 1972976769. The current practice location address for Wallace Brown is 10 Meadowbrook RD, Brockton, MA 02301-7122 and can be reached out via phone at 508-971-5854.

Provider Profile Details

NPI Number
1972976769
Provider Name
Wallace Brown
Provider Entity Type
Individual
Gender
Male
Address
10 Meadowbrook RD, Brockton, MA 02301-7122
Phone Number
508-971-5854
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 3, 2015
Last Update Date
November 16, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Meadowbrook RD
Brockton, MA 02301-7122
Zip
02301-7122
Phone Number
508-971-5854
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
10 Meadowbrook RD
Brockton, MA 02301-7122
City
Brockton
State
MA
Zip
02301-7122
Phone Number
508-542-0659

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Brockton, MA

View all Counselor, Mental Health providers in Brockton →

Frequently Asked Questions

What is the NPI number of Wallace Brown?

The NPI number of Wallace Brown is 1972976769. It was assigned on November 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Wallace Brown?

Wallace Brown is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Wallace Brown practice?

The practice location is 10 Meadowbrook RD, Brockton, MA 02301-7122. The office can be reached at 508-971-5854 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972976769 directly on the NPPES registry website.

Browse related providers