Individual
DR. JENNIFER LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 BOND ST, SPRINGFIELD, MA 01104-3401
(413) 731-6087
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8682
MA
103TH0004X
Health Psychologist
8682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0584410
—
MA
01
—
W06640
BCBSMA
MA
Enumeration date
02/08/2007
Last updated
07/11/2011
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