Brown, Robert Wayne

Brown, Robert Wayne is an sole proprietor health care provider with primary practice located at 18800 Delaware Street #700, Huntington Beach CA 92648-6018. He 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 his primary health care specialty. Brown, Robert Wayne can be contacted via phone (714) 847-4788.

Contact Information

Primary practice address
18800 Delaware Street #700 Huntington Beach CA 92648-6018
Phone: (714) 847-4788
Fax: (714) 841-7818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X CP4060 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY4060 California

Profile Details

NPI number 1336122530
LBN Legal business name Brown, Robert Wayne
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Aug 14th, 2012 - about 13 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 1336122530 NPPES
California Other CP4060 STATE LICENCE

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