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Contact Information

GARY BROWN
302 BROADWAY ST
MARTIN, TN38237-2455
 Phone: 731-587-0600
 Fax: 731-587-0600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GARY BROWN · (Female)

NPI # 1396200424
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2019
Last updated 02/02/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid Q032646
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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