Whalio Doctors

NPI 1568818060

Daniel Solomon Martin Brown, PHD

Practitioner Clinical Neuropsychologist Peoria, IL

Practice location

Address
530 NE Glen Oak Ave, Peoria, IL 61637-0816
Phone
(309) 624-5889
Fax
(309) 655-4609
Mailing address
530 NE Glen Oak Ave, Peoria, IL 61637-0001

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 071.009858 (IL)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071.009858 (IL)

Registry record

NPI
1568818060
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 May 2016
Record last updated
24 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.