Individual
DR. PATRICIA I M BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
117713 US HWY 84 285, SANTA FE, NM 87506
(505) 455-2268
(505) 455-2122
Mailing address
17713 US HIGHWAY 84-285, SANTA FE, NM 87506-2668
(505) 455-2268
(505) 455-2122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3734
—
103TC0700X
Clinical Psychologist
Primary
150
NM
103TS0200X
School Psychologist
240433
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N08669
—
NM
Enumeration date
11/10/2005
Last updated
03/26/2013
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