Brown, Patricia I M

Brown, Patricia I M is an sole proprietor health care provider with primary practice located at 117713 Us Hwy 84 285 , Santa Fe NM 87506. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Patricia I M can be contacted via phone (505) 455-2268.

Contact Information

Primary practice address
117713 Us Hwy 84 285 Santa Fe NM 87506
Phone: (505) 455-2268
Fax: (505) 455-2122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 150 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 240433 New Mexico
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3734

Profile Details

NPI number 1962483479
LBN Legal business name Brown, Patricia I M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Mar 26th, 2013 - about 11 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 1962483479 NPPES
New Mexico MEDICAID N08669

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