Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 102L00000X | Psychologist | PS016958 | PA |
N | 103T00000X | Psychologist | PS016958 | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS016958 | PA |
Y | 103G00000X | Clinical Psychologist | PS016958 | PA |
Y | 103TC0700X | Clinical Psychologist | PS016958 | PA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS016958 | PA |
N | 103TF0000X | Family Psychologist | PS016958 | PA |
NPI | 1184858565 |
---|---|
Provider Name | Dr. Diana Lea Brown |
First Address | Harrisburg, PA 17110-1155 |
Second Address | Harrisburg, PA 17110-1155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 09/08/2021 |