Individual
DR. PATRICIA SPARKS BRAWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1751 SO. LUMPKIN ST., ATHENS, GA 30606
(706) 552-2820
(706) 354-8904
Mailing address
1751 SO. LUMPKIN ST., ATHENS, GA 30606
(706) 552-2820
(706) 354-8904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1719
GA
103TC1900X
Counseling Psychologist
1719
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624753B
—
GA
Enumeration date
10/20/2005
Last updated
04/22/2015
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