Provider Demographics
NPI:1487784369
Name:BROWN & ASSOCIATES PLLC
Entity type:Organization
Organization Name:BROWN & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:509-242-2200
Mailing Address - Street 1:522 W RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0504
Mailing Address - Country:US
Mailing Address - Phone:509-242-2200
Mailing Address - Fax:509-242-2202
Practice Address - Street 1:522 W RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0504
Practice Address - Country:US
Practice Address - Phone:509-242-2200
Practice Address - Fax:509-242-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002285103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0201860OtherL & I
WAP00353981OtherMEDICARE RAILROAD
WABR9660OtherASURIS
WA7101199Medicaid
WA0201860OtherL & I
WABR9660OtherASURIS