Brown, Libby L

Brown, Libby L is an individual health care provider with primary practice located at 7409 Eagle Crest Blvd Ste G , Evansville IN 47715-9136. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brown, Libby L can be contacted via phone (812) 842-4020.

Contact Information

Primary practice address
7409 Eagle Crest Blvd Ste G Evansville IN 47715-9136
Fax: (812) 842-4019
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1068 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041288A Indiana

Profile Details

NPI number 1639208309
LBN Legal business name Brown, Libby L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated May 22nd, 2019 - about 6 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 1639208309 NPPES
Kentucky MEDICAID 7100153380
Kentucky Other 000000709939
Kentucky Other 20041288A
Kentucky MEDICAID 300017911

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