Provider Demographics
NPI:1336513191
Name:BROWNE, NATASHA ANNE (LMFT)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:ANNE
Last Name:BROWNE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S EL CAMINO REAL STE 318
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1716
Mailing Address - Country:US
Mailing Address - Phone:650-918-0784
Mailing Address - Fax:
Practice Address - Street 1:520 S EL CAMINO REAL STE 318
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1716
Practice Address - Country:US
Practice Address - Phone:650-918-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54023106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist