JERRY W BROWN PHD NPI 1467591289

NPI Information

NPI: 1467591289
Provider Name: JERRY W BROWN, PHD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6300 RIVERSIDE PLAZA LN NW
SUITE 100
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 400-7282
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Jerry W Brown, PHD is a professional counselor in Albuquerque, NM. Jerry W Brown, PHD NPI is 1467591289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6300 RIVERSIDE PLAZA LN NW
SUITE 100
ALBUQUERQUE, NM
ZIP 87120-617
Phone: (505) 400-7282

The enumeration date for this NPI number is 2/6/2007 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2389	NEW MEXICO	Yes
2	103TC0700X	Psychologist	Clinical	2389	NEW MEXICO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA4166	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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