Healthcare Provider Details

I. General information

NPI: 1649559105
Provider Name (Legal Business Name): JENNIFER S. BROWNE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W SHARON RD
CINCINNATI OH
45246-4137
US

IV. Provider business mailing address

212 W SHARON RD
CINCINNATI OH
45246-4137
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-7213
  • Fax: 513-771-4356
Mailing address:
  • Phone: 513-771-7213
  • Fax: 513-771-4356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6120
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6120
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: