=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487784369
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BROWN & ASSOCIATES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2007
-----------------------------------------------------
Last Update Date | 08/07/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 522 W RIVERSIDE AVE
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99201-0504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-242-2200
-----------------------------------------------------
Fax | 509-242-2202
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 522 W RIVERSIDE AVE
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99201-0504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-242-2200
-----------------------------------------------------
Fax | 509-242-2202
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOLOGIST OWNER
-----------------------------------------------------
Name | DEBRA D BROWN
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 509-242-2200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103G00000X
-----------------------------------------------------
Taxonomy Name | Clinical Neuropsychologist
-----------------------------------------------------
License Number | PY00002285
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------