| Dr. Patricia S. Brawner Phd, Llc | |
|
1751 S Lumpkin St Athens GA 30606-4740 | |
| (706) 552-2820 | |
| Not Available |
| Full Name | Dr. Patricia S. Brawner Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1751 S Lumpkin St, Athens, Georgia |
| Authorized Official Name and Position | Patricia S Brawner (OWNER) |
| Authorized Official Contact | 7062079943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Patricia S. Brawner Phd, Llc 1751 S Lumpkin St Athens GA 30606-4740 Ph: (706) 552-2820 | Dr. Patricia S. Brawner Phd, Llc 1751 S Lumpkin St Athens GA 30606-4740 Ph: (706) 552-2820 |
| NPI Number | 1588159636 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Medicare PECOS PAC ID | 3577802669 |
|---|---|
| Medicare Enrollment ID | O20190307001816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588159636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1719 (Georgia) | Primary |
| Provider Name | Patricia S Brawner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871582015 PECOS PAC ID: 4587643861 Enrollment ID: I20040719001530 |
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