Brown, Jennifer Lynn

Brown, Jennifer Lynn is an individual health care provider with primary practice located at 25 Bond St , Springfield MA 01104-3401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Jennifer Lynn can be contacted via phone (413) 731-6087.

Contact Information

Primary practice address
25 Bond St Springfield MA 01104-3401
Phone: (413) 731-6087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8682 Massachusetts
Behavioral Health & Social Service Providers / Health 103TH0004X 8682 Massachusetts

Profile Details

NPI number 1669512331
LBN Legal business name Brown, Jennifer Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669512331 NPPES
Massachusetts Other W06640 BCBSMA
Massachusetts MEDICAID 0584410 BCBSMA

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