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NPI Code Detail

MEDICARE: DR. MICHELLE BROWN M.A., PSY.D.

MEDICARE:  DR. MICHELLE  BROWN  M.A., PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPY60318426WA

General Provider Information

NPI Number : 1841549375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE BROWN M.A., PSY.D.
Provider Business Mailing Address
First Line : 4711 44TH AVE SW STE C
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4401
Country : US
Telephone Number : 206-317-4646
Fax Number : 888-240-5967
Provider Business Practice Location Address
First Line : 4711 44TH AVE SW STE C
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4401
Country : US
Telephone Number : 206-317-4646
Fax Number : 888-240-5967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 05/26/2022

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Directions to “ DR. MICHELLE BROWN M.A., PSY.D.” Practice Location

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