Individual
MR. THOMAS SAMUEL BROWNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1702 W WALNUT ST, ALLENTOWN, PA 18104-6741
(610) 434-1540
(610) 434-6775
Mailing address
1702 W WALNUT ST, ALLENTOWN, PA 18104-6741
(610) 434-1540
(610) 434-6775
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-003380-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS-003380-L
PSYCHOLOGIST'S LICENSE
PA
Enumeration date
10/11/2006
Last updated
07/08/2007
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