Individual
ETHERA D. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4659 S LAKESHORE DR, SUITE A, TEMPE, AZ 85282-7150
(480) 423-5619
Mailing address
4659 S LAKESHORE DR, SUITE A, TEMPE, AZ 85282-7150
(480) 423-5619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3234
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408725
—
AZ
Enumeration date
12/20/2006
Last updated
08/28/2013
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