Brad Allen Brown, PSYD
Individual provider Active NPI Psychologist · Snyder, NY
NPI 1487973129 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1487973129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 340 Campus Dr Apt 2
Snyder, NY 14226-3613 - Phone
- (417) 827-9552
- NPI assigned
- May 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
340 Campus Dr Apt 2
Snyder, NY 14226-3613
Mailing address
340 Campus Dr Apt 2
Snyder, NY 14226-3613
Phone (417) 827-9552
Other providers in Snyder, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.