Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY 15784 | CA |
N | 103T00000X | Psychologist | PSY 15784 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY 15784 | CA |
NPI | 1427260058 |
---|---|
Provider Name | Dr. Tim Browne |
First Address | Walnut Creek, CA 94598-4106 |
Second Address | Lafayette, CA 94549-3631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |