Provider Demographics
NPI:1427260058
Name:BROWNE, TIM (PHD)
Entity type:Individual
Prefix:DR
First Name:TIM
Middle Name:
Last Name:BROWNE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SAN CARLOS CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4106
Mailing Address - Country:US
Mailing Address - Phone:925-937-4667
Mailing Address - Fax:
Practice Address - Street 1:3708 MT DIABLO BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3631
Practice Address - Country:US
Practice Address - Phone:925-937-3999
Practice Address - Fax:925-299-0519
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 15784103T00000X, 103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)