Basic Information
| Provider Information | |||||||||
| NPI: | 1346516960 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | B.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1011 BINGHAM ST | ||||||||
| Address2: | WPIC-FRANKLING BUILDING-EIBI 4TH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152031101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122355315 | ||||||||
| FaxNumber: | 4122355387 | ||||||||
| Practice Location | |||||||||
| Address1: | 1011 BINGHAM ST | ||||||||
| Address2: | WPIC-FRANKLING BUILDING-EIBI 4TH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152031101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122355315 | ||||||||
| FaxNumber: | 4122355387 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2012 | ||||||||
| LastUpdateDate: | 03/28/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TM1800X | Y | Behavioral Health & Social Service Providers | Psychologist | Mental Retardation & Developmental Disabilities |
No ID Information.