Amber Brown PLLC
Psychologist in Durham, NC. Organization (NPI-2).
NPI number1093546103
StatusActive
Last updated in NPPESAug 10, 2024
Details
- NPI
- 1093546103
- Entity type
- Organization (NPI-2)
- Legal business name
- Amber Brown PLLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2024
- Certification date
- Aug 10, 2024
- Last updated
- Aug 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Other names
- Source Within Wellness (Doing Business As)
Practice location
1509 Clermont Rd # 26Durham, NC 27713-2455
Phone 919-593-5060
Mailing address
1509 Clermont Rd # 26Durham, NC 27713-2455
Phone 919-593-5060
Authorized official
Amber Nicole Brown
Owner
9195935060
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