Provider Demographics
NPI:1427639061
Name:BROWNSTONE, MCKINNLEY A
Entity type:Individual
Prefix:
First Name:MCKINNLEY
Middle Name:A
Last Name:BROWNSTONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 BEE CAVES RD STE 422
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6406
Mailing Address - Country:US
Mailing Address - Phone:512-469-0535
Mailing Address - Fax:
Practice Address - Street 1:4407 BEE CAVES RD STE 422
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6406
Practice Address - Country:US
Practice Address - Phone:512-469-0535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38728103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical