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MARLAND C BROWN PSYD

Clinical Neuropsychologist

Bismarck, North Dakota

Provider NPI: 1578633020

Provider Information:
 MARLAND C BROWN PSYD
Gender: M
Not Sole Proprietor

Practice Location:
222 N 7TH ST  BISMARCK, ND 58501 US
Tel: 701-323-6000  Fax: 701-323-5709

Business Mailing Address:
PO BOX 5501  BISMARCK, ND 58506 US
Tel: 701-323-6000  Fax: 701-323-5709

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
ND280

Other Provider Identifiers:

IssuerNumberStateType
18665ND05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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