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TANYA MAINES BROWN PH.D

Clinical Neuropsychologist

Rochester, Minnesota

Provider NPI: 1548279201

Provider Information:
 TANYA MAINES BROWN PH.D
Gender: F
Not Sole Proprietor

Practice Location:
200 1ST ST SW  ROCHESTER, MN 55905 US
Tel: 507-284-2511  Fax: --

Business Mailing Address:
200 1ST ST SW  ROCHESTER, MN 55905 US
Tel: 507-284-2511  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH6256
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
MNLP4829

Other Provider Identifiers:

IssuerNumberStateType
230685100MN05
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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