Brown, Walter
Brown, Walter is an sole proprietor health care provider with primary practice located at 5800 Hannum Ave. Ste 100, Culver City CA 90230. 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, Walter can be contacted via phone (310) 410-9504.Contact Information
Primary practice address
5800 Hannum Ave. Ste 100
Culver City CA 90230
Phone: (310) 410-9504
Fax: (310) 410-9507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 19358 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY19358 | California |
Profile Details
NPI number | 1477658680 |
---|---|
LBN Legal business name | Brown, Walter |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2006 |
Last updated | Apr 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477658680 | NPPES |
California | Other | FC392A | MEDICARE PTAN |
California | MEDICAID | PSY 193580 | MEDICARE PTAN |
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