Brown, Ethera D.

Brown, Ethera D. is an sole proprietor health care provider with primary practice located at 4659 S Lakeshore Dr Suite A, Tempe AZ 85282-7150. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brown, Ethera D. can be contacted via phone (480) 423-5619.

Contact Information

Primary practice address
4659 S Lakeshore Dr Suite A Tempe AZ 85282-7150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3234 Arizona

Profile Details

NPI number 1881758589
LBN Legal business name Brown, Ethera D.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Aug 28th, 2013 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1881758589 NPPES
Arizona MEDICAID 408725

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