Healthcare Provider Details
I. General information
NPI: 1427260058
Provider Name (Legal Business Name): TIM BROWNE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3708 MT DIABLO BLVD SUITE 220
LAFAYETTE CA
94549-3631
US
IV. Provider business mailing address
37 SAN CARLOS CT
WALNUT CREEK CA
94598-4106
US
V. Phone/Fax
- Phone: 925-937-3999
- Fax: 925-299-0519
- Phone: 925-937-4667
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | PSY 15784 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Psychologist |
| License Number | PSY 15784 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: