Brown, Michelle Renee

Brown, Michelle Renee is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Brown, Michelle Renee can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17690 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17690 California

Profile Details

NPI number 1053497180
LBN Legal business name Brown, Michelle Renee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Apr 27th, 2024 - about 5 months 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 1053497180 NPPES
California MEDICAID PSY17690

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