Lisa Christine Brown, LLP
Individual provider Active NPI Clinical Psychologist · Kingsford, MI
NPI 1497786255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497786255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301011688 (MI)
- Practice address
- 715 Pyle Dr
Kingsford, MI 49802-4456 - Phone
- (906) 774-0522
- Fax
- (906) 774-1570
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011688 | MI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301011688 | MI | Yes |
Addresses
Primary practice location
715 Pyle Dr
Kingsford, MI 49802-4456
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 982471034362 | Other | PREFERRED ONE | |
| LB011688 | Other | MI | BCBS OF MI |
Other providers in Kingsford, MI
- Madeline Katherine Boehmer
- Rhonda Jane Boshears
- Melissa Mae Bossenberger
- Wanda Brayak
- Cindy Brooks
- Laura Bryant
- Lisa Buchko
- Melissa Buffinton
- Ashley M Bunker
- Bianca Byers
All providers in Kingsford, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.