Provider Demographics
NPI:1235952680
Name:BROWN, INGRID JOY (PHD)
Entity type:Individual
Prefix:DR
First Name:INGRID
Middle Name:JOY
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:950 REDWOOD SHORES PKWY UNIT M102
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-8486
Mailing Address - Country:US
Mailing Address - Phone:808-221-4871
Mailing Address - Fax:
Practice Address - Street 1:222 W 39TH AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4364
Practice Address - Country:US
Practice Address - Phone:808-221-4871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program