Healthcare Provider Details

I. General information

NPI: 1093494528
Provider Name (Legal Business Name): BROWN PSYCHOLOGY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6459 ALDEA AVE
VAN NUYS CA
91406-5402
US

IV. Provider business mailing address

24478 ROAD 140
TULARE CA
93274-9368
US

V. Phone/Fax

Practice location:
  • Phone: 818-468-3808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISON BROWN
Title or Position: CEO
Credential: PSY.D.
Phone: 818-468-3808