Provider Demographics
NPI:1366285538
Name:BROWN, SHAWN DONTE (MA, CAS)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:DONTE
Last Name:BROWN
Suffix:
Gender:M
Credentials:MA, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 SARAH LN APT 302
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-3978
Mailing Address - Country:US
Mailing Address - Phone:443-800-3077
Mailing Address - Fax:
Practice Address - Street 1:7808 SARAH LN APT 302
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-3978
Practice Address - Country:US
Practice Address - Phone:443-800-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool