Healthcare Provider Details

I. General information

NPI: 1487784369
Provider Name (Legal Business Name): BROWN & ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE
SPOKANE WA
99201-0504
US

IV. Provider business mailing address

522 W RIVERSIDE AVE
SPOKANE WA
99201-0504
US

V. Phone/Fax

Practice location:
  • Phone: 509-242-2200
  • Fax: 509-242-2202
Mailing address:
  • Phone: 509-242-2200
  • Fax: 509-242-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY00002285
License Number StateWA

VIII. Authorized Official

Name: DEBRA D BROWN
Title or Position: PSYCHOLOGIST OWNER
Credential: PHD
Phone: 509-242-2200