OrganizationActive
Gary Brown
NPI 1396200424 · Intellectual & Developmental Disabilities Psychologist · Martin, TN
Provider details
- NPI number
- 1396200424
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Lisa Page, Credentialing Manager
Practice location
302 Broadway St
Martin, TN 38237-2455
Phone: (731) 587-0600
Fax: (731) 587-0600
Mailing address
302 Broadway St
Martin, TN 38237-2455
Registry dates
- Enumerated
- 2019-02-02
- Last updated
- 2019-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.