Provider Demographics
NPI:1689489486
Name:BROWN, FRANDREA LATRICE (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANDREA
Middle Name:LATRICE
Last Name:BROWN
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 1:1860 DAKOTA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-2249
Mailing Address - Country:US
Mailing Address - Phone:252-259-6618
Mailing Address - Fax:
Practice Address - Street 1:1860 DAKOTA CREEK DR
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-2249
Practice Address - Country:US
Practice Address - Phone:252-259-6618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist