DERON BROWN NPI 1376925768

NPI Information

NPI: 1376925768
Provider Name: DERON BROWN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1322 W 9TH ST
ANTLERS, OK
ZIP 74523
Phone: (580) 579-3450
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Deron Brown is a mental health counselor in Antlers, OK. Deron Brown NPI is 1376925768. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1322 W 9TH ST
ANTLERS, OK
ZIP 74523-308
Phone: (580) 579-3450

The enumeration date for this NPI number is 6/23/2015 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	171M00000X	Case Manager/Care Coordinator				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200626640	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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