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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1477658680 NPPES
California Other FC392A MEDICARE PTAN
California MEDICAID PSY 193580 MEDICARE PTAN

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