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KRISTIN J ADDISON-BROWN PHD

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1841507894

Individual Registrant:
 KRISTIN J ADDISON-BROWN PHD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
304 SOUTHWEST SQ  JONESBORO, AR 72401-5984 US
Tel: 870-203-6065  Fax: 870-931-4790

Contact information for business:
PO BOX 16374  JONESBORO, AR 72403-6706 US
Tel: 870-203-6085  Fax: 844-270-3469

Registration Information:
NPI: 1841507894
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AL1573
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AR11-05P
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
AL1573

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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