Individual ProviderMary Evelyn BrownPsychologistBehavioral Health & Social Service ProvidersPractice Address1818 Crane Ridge Dr, Suite 101, Jackson, MS 39216-4912(601) 981-1008PECOS EnrollmentBased on the most recent information from CMS, provider Mary Evelyn Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1437364247Provider TypeIndividualFull NameBrown, Mary EvelynTitleDr.CredentialPH.D.GenderFemaleSole ProprietorNoEnumeration Date5/14/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1818 Crane Ridge Dr, Suite 101, Jackson, MS 39216-4912Phone(601) 981-1008Fax(601) 982-9090Mailing LocationMailing Address1818 Crane Ridge Dr, Suite 101, Jackson, MS 39216-4912Phone(601) 981-1008Fax(601) 982-9090Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense160Mississippi