Dr. Kelly Kriston Brown
Psychologist Clinical Psychologist Counseling Psychologist
4004 Chestnut Dr W
University Place
, Washington 98466-1522
Dr. Kelly Kriston Brown
Psychologist Clinical Psychologist Counseling Psychologist
4004 Chestnut Dr W
University Place
, Washington 98466-1522
(253) 503-6226
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kelly Kriston Brown
- 4004 Chestnut Dr W
- University Place, WA
- Zip : 98466-1522
- Phone : (253) 503-6226
Second Address
- Dr. Kelly Kriston Brown
- 4004 Chestnut Dr W
- University Place, WA
- Zip : 98466-1522
- Phone : (253) 503-6226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PY60236263 | WA |
| N | 103T00000X | Psychologist | PY60236263 | WA |
| N | 103G00000X | Clinical Psychologist | PY60236263 | WA |
| N | 103TC0700X | Clinical Psychologist | PY60236263 | WA |
| Y | 103TC1900X | Counseling Psychologist | PY60236263 | WA |
National Provider Identifier
| NPI | 1013424407 |
|---|---|
| Provider Name | Dr. Kelly Kriston Brown |
| First Address | University Place, WA 98466-1522 |
| Second Address | University Place, WA 98466-1522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2018 |
| Last Update Date | 07/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.