Jacquelyn Brown, PSYD is a
Psychologist - Clinical based in Patton, California. Jacquelyn Brown is licensed to practice in California (license number PSY23315) and her current practice location is
3102 E. Highland Avenue, Medical Staff Office, Patton, California. She can be reached at her office (for appointments etc.) via phone at
(909) 425-7679.
NPI number for Jacquelyn Brown is 1821122052 and her current mailing address is 3102 E. Highland Avenue, Medical Staff Office, Patton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821122052.
Healthcare Provider's Profile
| Full Name | Jacquelyn Brown |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 3102 E. Highland Avenue, Patton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821122052
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 05/23/2014
Medical Identifiers
Medical identifiers for Jacquelyn Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821122052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY23315 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacquelyn Brown, PSYD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369
Ph: (909) 425-7679 | Jacquelyn Brown, PSYD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369
Ph: (909) 425-7679 |
Reviews and Comments