Provider Demographics
NPI:1487086476
Name:BROWNS, MIGDALIA (PHD)
Entity type:Individual
Prefix:DR
First Name:MIGDALIA
Middle Name:
Last Name:BROWNS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 FALCON TRL
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-1061
Mailing Address - Country:US
Mailing Address - Phone:407-520-0474
Mailing Address - Fax:
Practice Address - Street 1:581 FALCON TRL
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-1061
Practice Address - Country:US
Practice Address - Phone:407-520-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15742101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral