Provider Demographics
NPI:1598982845
Name:BROWER, ELEANOR (PHD)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:BROWER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PACES WEST CT NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2732
Mailing Address - Country:US
Mailing Address - Phone:404-495-0630
Mailing Address - Fax:404-495-0640
Practice Address - Street 1:76 PACES WEST CT NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2732
Practice Address - Country:US
Practice Address - Phone:404-495-0630
Practice Address - Fax:404-495-0640
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002793103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist