| NPI | 1336122530 |
|---|---|
| Professional Name | R WAYNE BROWN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY4060) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA CP4060) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2012-08-14 |