Provider Demographics
NPI:1912372962
Name:BROWNE PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:BROWNE PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-481-2823
Mailing Address - Street 1:576 CAMINO MERCADO
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-1816
Mailing Address - Country:US
Mailing Address - Phone:805-481-2823
Mailing Address - Fax:866-496-6112
Practice Address - Street 1:576 CAMINO MERCADO
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-1816
Practice Address - Country:US
Practice Address - Phone:805-481-2823
Practice Address - Fax:866-496-6112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14399251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health