Provider Demographics
NPI:1649559105
Name:BROWNE, JENNIFER S (PHD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:BROWNE
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 1:212 W SHARON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4137
Mailing Address - Country:US
Mailing Address - Phone:513-771-7213
Mailing Address - Fax:513-771-4356
Practice Address - Street 1:212 W SHARON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4137
Practice Address - Country:US
Practice Address - Phone:513-771-7213
Practice Address - Fax:513-771-4356
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6120103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist