Individual
DR. BONNIE MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 E MT GARFIELD RD STE 135, MUSKEGON, MI 49444-7732
(231) 799-8880
(231) 799-8803
Mailing address
2780 S JONES BLVD, SUITE 108, LAS VEGAS, NV 89146-5628
(888) 320-2271
(888) 765-5221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017020
MI
103TC0700X
Clinical Psychologist
PY0405
NV
103TC1900X
Counseling Psychologist
6301017020
MI
103TC1900X
Counseling Psychologist
PY0405
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002602083
—
NV
05
—
1801923339
—
NV
Enumeration date
02/28/2007
Last updated
03/17/2018
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