Doctor Name: | MRS. BRENDA LEANNE BROWN |
NPI Number: | 1225054174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTER OF SCIENCE |
License Number: | 05-5E |
Business Practice Address: | 592 Highway 160 Fountain Hill, AR - 716429232 |
Business Phone Number: | 8709400222 |
Business Fax Number: | |
Mailing Address: | 592 Highway 160, FOUNTAIN HILL |
State: | AR |
Postal Code: | 716429232 |
Phone Number: | 8709400222 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 09/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 05-5E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |