Provider Demographics
NPI:1700918067
Name:BROWN, LORRAINE ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:ANN
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 1:1400 20TH ST., NW
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5963
Mailing Address - Country:US
Mailing Address - Phone:202-223-2569
Mailing Address - Fax:301-340-9360
Practice Address - Street 1:1400 20TH ST., NW
Practice Address - Street 2:SUITE # 104
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5963
Practice Address - Country:US
Practice Address - Phone:202-223-2569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC939103TC0700X, 103T00000X
MD1133103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCBR666020Medicare ID - Type Unspecified
MDBR666020Medicare ID - Type Unspecified