IndividualActive
Jacqueline Brown, PH.D.
NPI 1659551497 · Clinical Child & Adolescent Psychologist · St. Augustine, FL
Provider details
- NPI number
- 1659551497
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY8006 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1100-1 S. Ponce De Leon Blvd
St. Augustine, FL 32092
Phone: (904) 824-7733
Fax: (904) 829-9768
Approximate (ZIP-level) locationGet directions
Mailing address
1100-1 S. Ponce De Leon Blvd
St. Augustine, FL 32092
Registry dates
- Enumerated
- 2007-11-09
- Last updated
- 2010-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.