Individual
DR. LIBBY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7409 EAGLE CREST BLVD STE G, EVANSVILLE, IN 47715-9136
(812) 842-4020
(812) 842-4019
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041288A
IN
103TC0700X
Clinical Psychologist
1068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000709939
ANTHEM BC/BS
KY
01
—
20041288A
STATE LICENSE
IN
05
—
300017911
—
IN
05
—
7100153380
—
KY
Enumeration date
03/05/2007
Last updated
05/22/2019
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