Individual
DR. GARY EUGENE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
302 BROADWAY ST, MARTIN, TN 38237-2455
(731) 587-0600
(731) 587-0600
Mailing address
302 BROADWAY ST, MARTIN, TN 38237-2455
(731) 587-0600
(731) 587-0600
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
P0000000475
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032646
—
TN
Enumeration date
04/08/2007
Last updated
02/23/2019
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