NPI 1841507894 · live from the CMS NPI Registry
Kristin J Addison-Brown, PhD
Clinical Neuropsychologist in Jonesboro, AR. National Provider Identifier 1841507894, active.
NPI record
| NPI | 1841507894 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 304 Southwest Sq, Jonesboro, AR 72401 |
| Practice phone | 870-203-6065 |
| Mailing address | Po Box 16374, Jonesboro, AR 72403 |
| Enumerated | September 10, 2010 |
| Last updated | September 23, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1573 (AL) |
| Psychologist, Clinical | 103TC0700X | 1573 (AL) |
| Clinical Neuropsychologist primary | 103G00000X | 11-05P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.