Brown, Carroll Taylor
Brown, Carroll Taylor is an individual health care provider with primary practice located at 652 Petaluma Ave Ste H , Sebastopol CA 95472-4266. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Brown, Carroll Taylor can be contacted via phone (707) 823-3166.Contact Information
Primary practice address
652 Petaluma Ave Ste H
Sebastopol CA 95472-4266
Phone: (707) 823-3166
Fax: (707) 869-8170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 95202301 | California |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95018200 | California |
Profile Details
NPI number | 1831709773 |
---|---|
LBN Legal business name | Brown, Carroll Taylor |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2020 |
Last updated | Mar 20th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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