Sharon Brown, PH.D
Individual provider Active NPI Clinical Psychologist · Andalusia, AL
NPI 1669698221 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669698221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 855 (AL)
- Practice address
- 19815 Bay Branch Rd
Andalusia, AL 36420-9234 - Phone
- (334) 222-2525
- Fax
- (334) 222-4660
- NPI assigned
- Apr 18, 2007
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 855 | AL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 855 | AL | Yes |
Addresses
Primary practice location
19815 Bay Branch Rd
Andalusia, AL 36420-9234
Mailing address
501 Main St
McKenzie, AL 36456-4141
Phone (334) 374-0018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-30332 | Other | AL | UBH BASIC |
| 61-40332 | Other | AL | UBH PLUS |
Other providers in Andalusia, AL
- Cheryl Ann Blanck
- Robert Burman Bowen
- Roger T Boyington
- Alesha Bradley
- Shannon Brown
- Leticia Buehl
- Julie W Burgess
- Robert Boyd Burkhardt
- Rex Allen Butler
- Jennifer Butts
All providers in Andalusia, AL · Clinical Psychologist in Alabama
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.