Individual
JESSICA L. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10101 PARK ROWE AVE, SUITE 200, BATON ROUGE, LA 70810-1686
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 769-2200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
920
LA
103TP0016X
Prescribing (Medical) Psychologist
307769
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.000027
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197738
—
LA
Enumeration date
05/14/2012
Last updated
05/24/2022
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