Brown, Jacquelyn

Brown, Jacquelyn is an individual health care provider with primary practice located at 3102 E. Highland Avenue Medical Staff Office, Patton CA 92369. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Jacquelyn can be contacted via phone (909) 425-7679.

Contact Information

Primary practice address
3102 E. Highland Avenue Medical Staff Office Patton CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY23315 California

Profile Details

NPI number 1821122052
LBN Legal business name Brown, Jacquelyn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated May 23rd, 2014 - about 10 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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