Provider Demographics
NPI:1740300714
Name:BROWN, JAMILA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMILA
Middle Name:M
Last Name:BROWN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1752 NW MARKET ST # 4512
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5264
Mailing Address - Country:US
Mailing Address - Phone:206-800-8396
Mailing Address - Fax:206-299-0429
Practice Address - Street 1:5224 WILSON AVE S
Practice Address - Street 2:SUITE 202
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2587
Practice Address - Country:US
Practice Address - Phone:206-725-1820
Practice Address - Fax:206-725-1890
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003705103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical