Provider Demographics
NPI:1164598017
Name:BROWNFIELD, FAYE EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:EVELYN
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2363 TROUTDALE DRIVE
Mailing Address - Street 2:
Mailing Address - City:AGOURA
Mailing Address - State:CA
Mailing Address - Zip Code:91301-3112
Mailing Address - Country:US
Mailing Address - Phone:818-706-3433
Mailing Address - Fax:818-889-3461
Practice Address - Street 1:2363 TROUTDALE DRIVE
Practice Address - Street 2:
Practice Address - City:AGOURA
Practice Address - State:CA
Practice Address - Zip Code:91301-3112
Practice Address - Country:US
Practice Address - Phone:818-706-3433
Practice Address - Fax:818-889-3461
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG367622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G36762Medicare UPIN
G36762Medicare ID - Type Unspecified